An older adult patient asks the nurse why so many of her friends are developing cancers. The nurse responds best when answering
a. "Cancer cells generally develop as a result of prolonged exposure to external agents."
b. "The longer we live the more exposure we have to environmental toxins."
c. "Aberrant growth seems to be the risk factor in the older adult that is not well understood."
d. "As we age, our cells are less able to re-gulate replication appropriately."
D
The aging cell has a tendency toward aberration or abnormalcy as it replicates. Aberrant cell growth is related to failure of growth control mechanisms, which leads to less cell regulation during replication. Cancer occurs more commonly in replicating than in nonreplicating cell groups, which suggests that changes in internal cellular control mechanisms give rise to cancer.
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The client presents to the labor and delivery unit stating that her water broke 2 hours ago. Indicators of normal labor include which of the following? Note: Credit will be given only if all correct choices and no incorrect choices are selected
Select all that apply. 1. Fetal heart rate of 130 with average variability 2. Blood pressure of 130/80 3. Maternal pulse of 160 4. Protein of +1 in urine 5. Odorless, clear fluid on underwear
The nurse is caring for a patient who could be at risk for uterine rupture. The nurse is monitoring the fetus closely for: Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. Late decelerations. 2. Bradycardia. 3. Loss of ability to determine fetal station. 4. Tachycardia. 5. Early decelerations.
A nurse who provides care on the oncology unit of the hospital is aware of the high incidence of hypercalcemia among patient with cancer. What factors contribute to this fact? Select all that apply
A) Bone demineralization B) Secretion of parathyroid hormone (PTH)-related protein by tumors C) Consequences of immobility D) Use of artificial nutrition and hydration E) Use of chemotherapeutic agents
Which of the following is a characteristic of the patient-centered care model of nursing care delivery?
a. It is easily explained to patients because it is based on traditional models of nursing care. b. Communication among team members is not required to make the model work. c. A multidisciplinary team emphasizes continuum of care and focuses on the patient's right to individualized care. d. It decreases the number of registered nurses required to provide care.