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
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.

Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Nurse self-awareness is crucial in providing care for individuals with personality disorders to avoid countertransference.
Choice B reason: Trust is a fundamental component of the nurse-client relationship and is necessary for effective care.
Choice C reason: Limit setting is essential for maintaining professional boundaries and providing structure in the therapeutic relationship.
Choice D reason: Vague communication is not therapeutic and can lead to misunderstandings and increased feelings of inferiority, which is not conducive to treatment.
Correct Answer is B
Explanation
Choice A reason: Providing a pillow to brace the incision is a recommended practice to support the incision during coughing or movement.
Choice B reason: Instructing the patient to perform deep coughing every 30 minutes is a standard postoperative care practice to prevent atelectasis.
Choice C reason: Having the patient sit up and lean forward can help with breathing and comfort after surgery.
Choice D reason: Giving pain medication prior to coughing is actually a recommended practice to reduce pain and facilitate effective coughing.
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