Which patient statement indicates understanding of patient teaching regarding cancer diagnostic exams?
a. "I will have less scarring if my surgeon uses an incision to biopsy my breast."
b. "My CEA level will be low if my pan-creatic cancer returns."
c. "The doctor will monitor my ovarian cancer remission with the CA-125 test."
d. "My colonoscopy results were great, so I won't need another one for 5 years."
C
The CA-125 is one of the tests the physician will monitor to detect the presence of ovarian cancer or recurrence of ovarian cancer after therapy. Fine-needle biopsy causes the least amount of scarring during breast cancer biopsy. The patient's CEA level will rise if pancreatic cancer is present. Recommendations suggest a colonoscopy every 10 years if the exam is negative and there is no family history of colon cancer.
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The nurse is planning to teach a class about dental care to a group of expectant women. The nurse should teach that dental hygiene should begin:
1. At birth. 2. When the first tooth erupts. 3. When the child can hold a toothbrush. 4. When the child starts solid food.
Assessment of cardiac landmarks includes which of the following? Select all that apply
a. Observing for pulsations. d. Percussing the anterior thorax. b. Observing the jugular veins. e. Palpating for heaves. c. Palpating for thrills. f. Measuring pulsus paradoxus.
A patient on a telemetry monitor reports feeling like the heart is skipping beats, and asks the nurse what could be causing this. What is the nurse's best response?
a. "Have you been exercising recently?" b. "Do you notice any other symptoms when your heart skips beats?" c. "You will have to tell your prescriber about this and ask him or her what is the cause." d. "Let me first listen to your heart, measure your blood pressure, and check your heart monitor."
Mavis Brown is a 75-year-old patient in your nursing home. She has Alzheimer's disease
Mavis comes to you at the desk one day and is crying. She says, "You all hate me. Everyone hates me!" Your therapeutic reply is: A. "Nobody here hates you, Mavis." B. "Why do you feel hated, Mavis?" C. "You seem upset, Mavis. Let's go for a walk and talk." D. "It's time for your medication, Mavis."