A patient is diagnosed with metaplasia of esophageal tissue. The nurse understands that this patient's first course of treatment will likely include which activity?
1. Identification and removal of the irritant causing the metaplasia
2. Surgical removal of the involved tissue
3. Chemotherapy
4. Radiation therapy
1
Rationale 1: Metaplasia occurs when one mature cell type is substituted for another type not typically found in the involved tissue. If the stimulus for this change is removed, the process is reversible.
Rationale 2: Surgical removal is not the likely first step in this patient's therapy.
Rationale 3: If the changes continue and anaplasia occurs, chemotherapy may be indicated. It is not indicated at this point.
Rationale 4: If the changes continue and anaplasia occurs, radiation therapy may be indicated. It is not indicated at this point.
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This surgery is an example of which of the following? A) Salvage surgery B) Palliative surgery C) Prophylactic surgery D) Reconstructive surgery
The client experienced severe physical, sexual, and emotional abuse in childhood. Today, she believes there are two other people "living in my body." She has been diagnosed with
1. identity diffusion. 2. dissociative amnesia. 3. depersonalization disorder. 4. dissociative identity disorder.
Which of the following is a characteristic of effective shift planning?
a. getting the job done in the least amount of time b. nobody died c. everybody showed up for work d. evaluation of optimal and reasonable outcomes
After administering an opioid antagonist, which of the following would be most appropriate for the nurse to do when the client's pain recurs? Select all that apply
A) Change opioid antagonists. B) Review the circumstances that led to the use of the opioid antagonist. C) Assess the client's pain level. D) Begin to treat the pain again. E) Decrease the rate of opioid antagonist administration.