A woman is being treated for a tumor of the left breast. If the patient and her physician opt for prophylactic treatment, the nurse should prepare the woman for what intervention?
A) More aggressive chemotherapy
B) Left mastectomy
C) Radiation therapy
D) Bilateral mastectomy
Ans: D
Feedback:
Right mastectomy would be considered a prophylactic measure to reduce the risk of cancer in the patient's unaffected breast. None of the other listed interventions would be categorized as being prophylactic rather than curative.
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In the process of planning a patient's care, the nurse has identified a nursing diagnosis of Ineffective Health Maintenance related to alcohol use. What must precede the determination of this nursing diagnosis?
A) Establishment of a plan to address the underlying problem B) Assigning a positive value to each consequence of the diagnosis C) Collecting and analyzing data that corroborates the diagnosis D) Evaluating the patient's chances of recovery
As death approaches, a patient with AIDS says, "I do not have enough energy for many visitors anymore, and I am embarrassed about how I look. I only want to see my parents and sister.". What action should the nurse take?
a. Support the patient to share the request with the parents and sister. Suggest that they inform the patient's friends of the request. b. Encourage the patient to reconsider this decision. Interested and caring friends can be sources of support. c. Suggest that the patient discuss these wishes with the health care provider. d. Place a "No Visitors" sign on the patient's door.
Which manifestation is the nurse likely to assess in the patient with chronic venous insufficiency (CVI)?
A) Sacral edema B) Thinning of the skin on the calves C) Leg pain that worsens with elevation D) Pain in the legs that worsens with standing
A client has been taking oral corticosteroids for the past five days because of seasonal allergies. Which assessment finding is of most concern to the nurse?
A) White blood count of 10,000 mm3. B) Serum glucose of 115 mg/dl. C) Purulent sputum. D) Excessive hunger.