Which statement by a woman with breast cancer indicates that more teaching about treatment is needed?
A) "Staging the cancer helps guide treatment."
B) "Because my friend didn't have chemotherapy after lumpectomy, I am not expecting chemotherapy either."
C) "Because I have the BRCA1 gene, I am considering having both breasts removed."
D) "Hormone therapy won't work because my cancer doesn't have hormone receptors."
B) "Because my friend didn't have chemotherapy after lumpectomy, I am not expecting chemotherapy either."
Explanation: A) Staging of the cancer is done by using the TNM system, which involves measuring the size of the primary tumor (T), determining how many nodes (N) are involved locally and regionally from the breast, and whether there is metastasis (M) in any other areas of the body. This staging helps guide treatment of breast cancer.
B) Treatment for cancer is individual and depends on many factors, including staging of the tumor, whether the woman has reached menopause, assessment of her hormone receptor status to guide the medication regimen, her baseline health status, and the risk for recurrence (including the patient's BRCA1 or BRCA2 status).
C) Women who are BRCA1 and BRCA2 positive have a high risk for breast cancer in the other breast.
D) If no receptors are present, hormone therapy would not be effective, and another treatment is chosen.
You might also like to view...
The antiemetic drug ondansetron (Zofran) is being administered to a child receiving chemotherapy. It should be administered:
1. Only if the child experiences nausea. 2. After the chemotherapy has been administered. 3. Before chemotherapy administration, as a prophylactic measure. 4. Never; this antiemetic is not effective for controlling nausea and vomiting associated with chemotherapy.
Which of the following conditions is directly linked to smoking?
a. Chest muscle atrophy b. Coronary heart disease c. Diabetes d. Respiratory tuberculosis
A patient with an inflammatory response is prescribed ranitidine (Zantac) 75 mg once a day. What is your best action?
a. Give the drug as ordered. b. Hold the drug and notify the prescriber. c. Teach the patient to take the drug first thing in the morning. d. Ask the patient if he or she is allergic to any drugs or other substances.
A nurse is caring for a client who has lactose intolerance. The client has been avoiding
all milk products in his diet. What supplementation should the nurse suggest in the diet of such a client? A) Vitamin A B) Vitamin C C) Vitamin D D) Vitamin E