The nurse is reviewing lab data of a Stage 4 breast cancer patient. Which lab data may indicate further metastasis?

Sodium 138 milliequivalents per liter

Hemoglobin 10.5 grams per deciliter

Potassium 3.4 milliequivalents per liter

Calcium 12.5 milligrams per deciliter

Answer and Explanation

The Correct Answer is D

Choice A reason: A sodium level of 138 milliequivalents per liter is within the normal range and does not indicate metastasis.

Choice B reason: A hemoglobin level of 10.5 grams per deciliter is slightly low but does not specifically indicate metastasis.

Choice C reason: A potassium level of 3.4 milliequivalents per liter is within the normal range and does not indicate metastasis.

Choice D reason: A calcium level of 12.5 milligrams per deciliter is elevated, which may indicate metastasis to the bones, a common site for breast cancer metastasis.

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Correct Answer is C

Explanation

Choice A reason: An illusion is a misinterpretation of a real external stimulus, which is not the case here as there is no snake.

Choice B reason: Attention-getting behavior is a possibility, but given that Mr. G is specifically referencing a snake that isn't there, it suggests a hallucination.

Choice C reason: A hallucination is a sensory perception in the absence of external stimuli, which fits Mr. G's description of seeing a snake that isn't there.

Choice D reason: A delusion is a firmly held false belief; while Mr. G may have this, the immediate experience he's describing is a hallucination, not a delusion.

A. Illusion B. Flashback C. Hallucination D. Delusion

Correct Answer is A

Explanation

Choice A reason: An illusion is a misinterpretation of a real external stimulus. Mr. S is mistaking the cracks in the plaster for snakes, which is an illusion.

Choice B reason: A flashback is a vivid memory of a traumatic event that feels like it is happening again. This does not describe Mr. S's experience.

Choice C reason: A hallucination is a sensory experience of something that does not exist outside the mind. Since Mr. S is misinterpreting an actual visual stimulus (the cracks), it is not a hallucination.

Choice D reason: A delusion is a firmly held false belief resistant to reason or confrontation with actual fact. Mr. S's belief is based on a misinterpretation of a visual stimulus, not a delusion.

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The nurse is reviewing lab data of a Stage 4 breast cancer patient. Which lab data may indicate further metastasis?

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Naxlex Comprehensive Predictor Exams

Mr. G is calling out "Nurse!" When you arrive in his room, he tells you to be careful of the snake in the corner. You do not see anything in the corner. Mr. G is experiencing an:

Correct Answer is C

Explanation

Mr. S states, "Look at the snakes on the ceiling!" You see some cracks in the plaster. Mr. S is experiencing a/an:

Correct Answer is A

Explanation

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