A client is hospitalized for chemotherapy following a mastectomy for stage IV breast cancer. What should the nurse recognize about the client's cancer?
a. It involved the proximal lymph nodes.
b. It involved the distal lymph nodes.
c. It had metastasized prior to surgery.
d. It was larger than 5 centimeters in diameter.
C
In stage I, the tumor is < 2 cm, no lymph nodes are involved, and no metastases are evident. In stage II, the tumor is 2 cm to 5 cm, no lymph nodes are involved, and no metastases are evident. In stage III, the tumor is > 5 cm, no lymph node are involved, and no metastases are evident, or the tumor is between 0 cm and 5 cm and the lymph node is involved with no metastases evident. In stage IV, the tumor is of any size, the lymph node may or may not be involved, and metastases are evident.
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A mother asks the nurse why her toddler is such a fussy eater. Which of the following can the nurse provide to this mother?
a. serve large helpings b. use food as a reward c. expect and maintain rigid eating patterns d. establish a mealtime routine and follow it
For a lumbar puncture, the nurse should place the client in which position?
1. Lateral with head bent toward the chest and knees flexed onto the abdomen 2. Lying prone, with the knees drawn up toward the abdomen 3. Sitting bent over from the waist with legs extended 4. Supine with knees pulled toward the chest
The patient, a newly arrived immigrant from Russia, was admitted to the mental health unit after creating a disturbance in a church while a funeral was taking place
During the admission interview he is loud, mixes English and Russian phrases, and makes gestures such as vigorously shaking his fist. The nurse who is admitting him should: A. Tell him she is going to ask him some questions that he must try to answer in English. B. Defer the nursing admission interview until after the client has calmed down. C. Request the assistance of a security guard. D. Request the assistance of an interpreter.
A 55-year-old male died of a myocardial infarction. Autopsy would most likely reveal:
a. embolization of plaque from the aorta. b. decreased ventricular diastolic filling time. c. platelet aggregation within the atheroscle-rotic coronary artery. d. smooth muscle dysplasia in the coronary artery.