A 16-year-old with aspirations of becoming a bodybuilder spends 3 hours a day in the gym. Five years later a hepatocellular carcinoma is discovered. Which of the following is the most likely cause of the cancer?
a. Immunosuppressive agents
b. Cytotoxic agents
c. Anabolic steroids
d. A viral infection
ANS: C
A history of anabolic steroids, not immunosuppressive or cytotoxic agents, places the patient at risk for hepatocellular carcinoma. A viral infection does not place the patient at risk for hepato-cellular carcinoma.
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A patient is taking rivastigmine for Alzheimer disease. The nurse will evaluate the patient regularly for
A) weight gain. B) weight loss. C) increased blood pressure. D) decreased blood pressure.
Which assessment finding should the nurse expect to observe on an immobilized patient?
a. Increased serum glucose levels b. Decreased urine excretion c. Positive nitrogen balance d. Increased serum potassium levels
The nurse compresses the nailbed of a child who has just received an arm cast to assess:
a. loss of sensation. b. impending edema. c. perception of pain. d. peripheral circulation.
Nursing care of the patient with a gastric or jejunostomy tube includes the preoperative assessment. What is the focus of the preoperative assessment?
A) To ascertain if the patient has enough family support for postop care at home B) To ascertain if the patient fully understands the postoperative care required C) To determine the patient's ability to understand and cooperate with the procedure. D) To determine the patient's and family's ability to cope with the patient's altered body image