The nurse is preparing the client for a breast biopsy to determine if a lump found is cancerous. The nurse explains that the surgery is what type?
1. Ablative
2. Palliative
3. Diagnostic
4. Emergency
3
Rationale: The purpose of the surgery is to diagnose the cause of the breast lump, so this is diagnostic in nature. It is not an emergency surgery because the client's life is not at risk if it is not done immediately and is usually scheduled within a few days of discovering the lump. Ablative surgery removes a diseased body part, which is not planned at this time, although a mastectomy might be planned if the lump is cancerous, but that will not occur at this time. Palliative surgery is planned to relieve pain or symptoms of a disease without curing it, such as removal of a tumor blocking the bowel caused by metastatic cancer.
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A group of nursing students are learning about the factors that underlie recent increases in the incidence and prevalence of antibiotic-resistant microorganisms. What factor is known to contribute to antibiotic resistance?
A) Increased survival rates from acute infections B) Increased population density C) Use of antibiotics that are ineffective against the infectious microorganism D) Overuse of antibiotics
Infection control is important in every setting where nursing care is provided. In the home setting, how will the nurse best implement infection control?
A) Cleanse the hands before and after giving direct patient care B) Remove the patient's wound dressings from the home C) Dispose of patient's syringes in the patient's garbage D) Disinfect all work areas in the patient's home
In assessing flexion of the elbows of the newborn, the nurse would flex them by holding for 5 seconds and when extending them. The elbows of a term newborn will form an angle of:
a. 120 degrees with an extended position following the angle b. 100 degrees with a semiflexed position c. less than 90 degrees with a rapid recoil back to an extended position d. less than 90 degrees and rapidly recoil back to a flexed position
A nurse is caring for an elderly client admitted to the emergency department (ED). When the nurse learns that the client has muscle wasting, which does the nurse suspect?
A) Positive nitrogen balance B) Negative nitrogen balance C) Gluconeogenesis D) Ketosis