A nurse is caring for a client who has kidney cancer and has been told it has metastasized. Which of the following statements should the nurse make when the client asks what metastasis means?

A. "Your heart condition is caused when the ventricular tissue becomes fibrous and fatty": This description aligns more with restrictive cardiomyopathy. Dilated cardiomyopathy (DCM) involves the enlargement and weakening of the ventricles rather than fibrous or fatty tissue replacement.
B. "Your heart condition is caused by excessive stretching of the ventricles": Dilated cardiomyopathy is characterized by the excessive stretching of the ventricles, leading to poor contraction and reduced pumping efficiency. This is the most accurate explanation of the condition.
C. "Your heart condition is caused by thickening of the ventricular walls and septum": This description refers to hypertrophic cardiomyopathy, not dilated cardiomyopathy. Hypertrophic cardiomyopathy is characterized by thickened heart walls, not dilation.
D. "Your heart condition is caused from stiffening of the walls of the ventricles": This description refers to restrictive cardiomyopathy, where the heart walls become stiff and less able to expand and contract properly, not dilated cardiomyopathy.

A. Typical pneumonia: Streptococcus pneumoniae is the most common bacterial cause of typical pneumonia. It typically presents with sudden onset of fever, productive cough with purulent sputum, and pleuritic chest pain. Chest x-rays often show lobar consolidation, which is characteristic of this type.
B. Aspiration pneumonia: Aspiration pneumonia results from inhalation of oropharyngeal or gastric contents into the lower airways. It is commonly associated with altered consciousness, swallowing disorders, or vomiting, and is not primarily caused by Streptococcus pneumoniae.
C. Atypical pneumonia: Atypical pneumonia is usually caused by organisms like Mycoplasma pneumoniae, Chlamydophila pneumoniae, or Legionella species. It tends to have a gradual onset with dry cough, low-grade fever, and diffuse infiltrates on imaging, which is different from the presentation of Streptococcus pneumoniae infection.
D. Chemical pneumonitis: Chemical pneumonitis is an inflammatory response in the lungs due to inhalation of irritants such as gastric acid or toxic fumes. It is not caused by bacterial infection and therefore is unrelated to Streptococcus pneumoniae.