The nurse caring for a patient with breast cancer recalls that a breast tumor of any size with direct extension to the breast wall, any regional lymph node involvement, and signs of metastatic disease would be categorized as:
A) Stage I
B) Stage IIB
C) Stage IIIA
D) Stage IV
Ans: D
Feedback: Stage IV is characterized by any size tumor with direct extension to the chest wall or skin, any regional lymph node involvement, and metastatic disease.
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An assisted-living community would be an appropriate choice for which of the following?
a. A nonambulatory terminally ill patient b. An ambulatory patient who has a chronic condition that requires medication c. A nonambulatory, very frail person with a serious chronic illness d. A completely independent and ambulatory older adult
When providing discharge instructions to a surgical client, the nurse should include which of the following interventions? (Select all that apply.)
a. keep bed linens clean and dry b. take antibiotics as ordered by physician c. change dressing once a week d. wash hands thoroughly twice a day e. call the physician if temperature is elevated f. wear gloves when changing the dressing
A wing of a hospital is on fire. Which actions by the nurse promote safe evacuation of clients? (Select all that apply.)
a. Direct ambulatory clients on where to go to be safe. b. Use ambulatory clients to help push clients in wheelchairs. c. Use oxygen tanks for all clients who are on oxygen. d. Manually ventilate clients who are on ventilators. e. Move bedridden clients in their beds if possible.
Which finding indicates that a patient with moderate-to-severe anxiety has successfully lowered the anxiety level to mild? The patient:
a. Asks, "What's the matter with me?" b. Stays in a room alone and paces rapidly. c. Can concentrate on what the nurse is saying. d. States, "I don't want anything to eat. My stomach is upset."