The nursing is planning care for a child recovering from neck surgery for rhabdomyosarcoma. Which outcome suggests the best long-term prognosis for this patient?
A) The child tolerates chemotherapy to treat the tumor and on the neck and lungs.
B) The child tolerates radiation for neck tumor and tumor found in the colon and liver.
C) The child tolerates chemotherapy provided after complete removal of the neck tumor.
D) The child tolerates chemotherapy every 4 weeks for 24 months to eradicate inoperable tumor.
C
Feedback:
A child's prognosis depends on the size of the tumor and whether metastasis was present at the time of initial diagnosis. If the entire tumor was removed and no lymph node metastasis has occurred, the chances are as high as 80% that the tumor will not recur. If some of the tumor had to be left because of its size or location, the chance of recurrence rises to about 50%. If metastasis to the lungs or bone was present at the time of the initial diagnosis, the prognosis drops to about 20% of children with long-term survival.
You might also like to view...
A unit has a continuous problem with a certain complication in a specific patient population
One nurse has read extensively about this issue and thinks the problem lies mainly in the unit's failure to follow one or two particular best practices because they use a standardized order set preferred by their physician group. Using the disposition of critical thinking known as analyticity, the best action for this nurse to take is to a. get support from other staff nurses and collectively stop implementing specific orders. b. go directly to the physician group's weekly meeting, asking them to change the orders. c. show evidence to unit management and ask for help in speaking with the physicians. d. take the issue to the hospital's policy and procedures committee, asking for a review.
A nurse can most accurately assess a patient's heart rate and rhythm by which of the following methods?
A) Listen with the stethoscope at the fifth intercostals space left mid-clavicular line B) Listen with the stethoscope at the fifth intercostals space at the sternum C) Listen with a stethoscope at the neck to the right of the cricoid process D) Listen with a stethoscope at the second intercostal space left sternum
The nurse is caring for a patient who has not been able to sleep well while in the hospital, leading to a disrupted sleep-wake cycle. Which assessment findings will the nurse monitor for in this patient? (Select all that apply.)
a. Changes in physiological function such as temperature b. Decreased appetite and weight loss c. Anxiety, irritability, and restlessness d. Shortness of breath and chest pain e. Nausea, vomiting, and diarrhea f. Impaired judgment
A patient is scheduled for cardiac surgery for placement of a mechanical valve. Which patient statement indicates correct understanding of characteristics of mechanical valves used for cardiac valve replacement? (Select all that apply.)
a. "They are durable." b. "They require donors." c. "They create turbulent blood flow." d. "They can be placed during balloon angioplasty." e. "They do not require lifelong anticoagulant therapy." f. "They may be preferred if anticoagulation is a concern."