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 D

Explanation

Choice A reason: OCD is not characterized by an unconscious need to manipulate others but by anxiety-driven compulsions.

Choice B reason: While clients with OCD may feel a need to clean due to contamination fears, it is not a delusion but rather an obsession that drives the compulsion.

Choice C reason: The repetitive cleaning is not typically a conscious choice to decrease social interaction but a compulsion to alleviate anxiety.

Choice D reason: Repetitive behaviors in OCD, such as cleaning, are attempts to decrease the anxiety caused by obsessive thoughts.

A. Decreasing anxiety to a tolerable level. B. Focusing attention on useful tasks. C. Limiting the amount of time available for interaction with others. D. Manipulating and controlling others' behavior.

Correct Answer is A

Explanation

Choice A reason: Clients with OCD often engage in compulsive behaviors, such as cleaning, to manage their anxiety levels. Recognizing this can help the nurse provide appropriate support and interventions.

Choice B reason: While the tasks may seem useful, the compulsive nature of the behavior is driven by anxiety rather than a focus on productivity.

Choice C reason: The behavior is not about limiting social interaction; it is a manifestation of the client's OCD.

Choice D reason: The behavior is not intended to manipulate or control others but is a symptom of the client's OCD.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a client who has obsessive-compulsive disorder (OCD) and observes that the client demonstrates constant repetitive cleaning. The nurse should realize that the client's repetitive behaviors occur due to which of the following?

Correct Answer is D

Explanation

A nurse is caring for a client who has obsessive-compulsive disorder (OCD) and is constantly picking up after others and cleaning in the day room. The nurse should recognize the client's actions as which of the following?

Correct Answer is A

Explanation

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