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: Thinking/content of thought refers to the logical process of thought and coherence, not directly to the experience of reality.
Choice B reason: Mood and affect pertain to the emotional state and its expression, not the perception of reality.
Choice C reason: Judgment involves decision-making abilities and the evaluation of situations, not the perception of reality.
Choice D reason: Perception is the component that deals with how a person experiences reality, including any hallucinations or delusions they may have.
Correct Answer is A
Explanation
Choice A reason: Informed consent is obtained when a patient agrees to a procedure after understanding its risks and benefits, which is what Melva provided.
Choice B reason: A time out is a final review before surgery to ensure correct patient identity, procedure, and site, which is not described here.
Choice C reason: Patient history refers to the collection of a patient's medical background, which is not the focus in this scenario.
Choice D reason: The pre-op checklist is a list of tasks to be completed before surgery, not a discussion of the procedure itself.
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