A patient is having a procedure that involves cutting through the skin to diagnose a mass located in the left breast. For which type of biopsy should the nurse plan care for this patient?
1. incisional
2. fine-needle
3. needle core
4. excisional
Correct Answer: 1
An incisional biopsy is the removal of part of a larger tumor by cutting through the skin. A fine-needle biopsy uses a very thin needle to aspirate a small amount of tissue from the tumors. A needle core biopsy uses a slightly larger needle than that used for a fine-needle biopsy to extract a small amount of tissue from tumors that cannot be aspirated by fine-needle aspiration. An excisional biopsy is the removal of an entire tumor through surgery.
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A pregnant woman at 30 weeks' gestation is in the CCU with severe eclampsia. She is experiencing pulmonary edema, severe oliguria, and hypotension and continues to have seizures
She is endotracheally intubated, supported by a mechanical ventilator, and is receiving intravenous magnesium sulfate at 3 g/hr; the serum magnesium level is 8 mg/dL. She is beginning spontaneous early labor. What is the most important intervention? A) Administer medication to delay the onset of labor, as the baby is preterm. B) Increase the dose of magnesium sulfate to control seizures. C) Facilitate delivery of the baby, as eclampsia is worsening. D) Administer high-dose diuretics for the pulmonary edema.
The nurse has established peripheral IV access and begun an infusion of magnesium sulfate on a 29-year-old antepartum patient who is 35 weeks pregnant. Which of the following assessment findings most likely prompted the patient's physician to order magnesium sulfate for this patient?
A) Decreased level of consciousness with a sudden onset B) The presence of rales and rhonchi and oxygen saturation less than or equal to 80% on room air C) Maternal bradycardia accompanied by a prolonged QT interval D) Systolic blood pressure readings in excess of 190 mmHg
The nurse admits a client who self-injures and needs intensive supervision. Which should the nurse include in the end-of-shift report?
1. "The client cried off and on all day.". 2. "The client's family is not concerned.". 3. "The client might try something drastic.". 4. "The client in room 204 is a real problem.".
The nurse is providing care to a child who experienced an anaphylactic reaction to an unknown allergen. Which high-risk foods should the nurse question the family about regarding recent consumption?
1. Peanut butter 2. Shrimp 3. Eggs 4. Milk 5. Soda