The nurse is caring for a client who was recently diagnosed with breast cancer. What is the most important information needed to determine the treatment of
The CBC results from the date of cancer diagnosis
The most recent vital signs
The breast cancer stage and cancer grade,
The family’s wishes for treatment
The Correct Answer is C
The breast cancer stage and grade are critical factors in determining the appropriate treatment plan. The stage describes the extent of the cancer, including how large it is and whether it has spread to nearby lymph nodes or other parts of the body. The cancer grade provides information about how abnormal the cancer cells look under a microscope, which can help predict how fast the cancer is likely to grow and spread.
While CBC results (option a) and vital signs (option b) may provide some information about the client's overall health, they are not the most important factors in determining breast cancer treatment. Similarly, while the family's wishes for treatment (option d) are important to consider, they should not be the sole determining factor in deciding the best course of action for the client's cancer treatment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
After a radical mastectomy and axillary node dissection, the client may experience swelling and discomfort in the affected arm, known as lymphedema. Lifting heavy objects with the affected arm can worsen the swelling and increase the risk of developing lymphedema. Therefore, it is important for the client to avoid lifting heavy objects with the affected arm and to limit activity that could cause strain or injury to the arm. However, gentle exercise and movement of the arm can help improve circulation and reduce the risk of lymphedema. Using a sling is not typically necessary after this type of surgery, and keeping cuticles clipped neatly is not directly related to post-operative care for a mastectomy and axillary node dissection.
Correct Answer is A
Explanation
a. Intense itching and dysuria
d. Thick white cottage cheese-like discharge
Common symptoms of a yeast infection may include itching, burning, and redness in the vaginal area. Some women may also experience pain or discomfort during sexual intercourse or while urinating. It is important for the nurse to conduct a thorough assessment and obtain a detailed history from the student to determine the appropriate course of action, such as recommending over-the-counter treatments or referring the student to a healthcare provider for further evaluation and treatment.
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