Chemotherapy has been used for the past 3 months to treat a client with pancreatic cancer. The CA 19-9 levels are rising. Which explanation would the nurse attribute as the most likely cause?
A) It is normal for this antigen to rise for up to 6 months.
B) The client is having an adverse response to the chemotherapy.
C) The chemotherapy is effectively destroying the cancer cells.
D) The cancer is growing despite the chemotherapy treatment.
D
Feedback:
Elevation of specific tumor markers, such as CA 19-9, is indicative of progression and proliferation of the cancer cells. If the chemotherapy was successful in the treating of the pancreatic cancer cells, the tumor marker would be decreased. Increased production of antibody development is not a usual adverse reaction of chemotherapy.
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A school nurse has identified that there has been an increase in sexually transmitted infections (STIs) among the adolescents attending the school. Which of the following interventions should be completed by the nurse?
a. Arrange for the health department to come to the school to give information and treatment on a confidential basis b. Encourage the athletic coaches to distribute condoms in such a way that a boy can obtain them in private c. Have English teachers assign stories about the problems that result from adolescent pregnancy d. Have the bus drivers put a comic book about sexuality, STIs, and preventive measures on each seat
An example of teleology is:
a. do unto others as you would have them do unto you b. murder is always wrong c. the achievement of a good outcome justifies using less than desirable means to attain it d. a person's character must be developed so that he will be predisposed to behave virtuously
On the ECG, the P wave represents atrial _____ and the QRS complex represents ventricular _____
a. depolarization; depolarization b. repolarization; repolarization c. repolarization; depolarization d. depolarization; repolarization
During conversation, the nurse observes that the client is talking continuously and excitedly and is switching rapidly from one topic to another with seemingly no relationship between topics. This behavior is often associated with:
a. Depression. b. Obsessive-compulsive disorder. c. Schizophrenia. d. Bipolar disorder.