A nurse is reinforcing teaching to a patient undergoing a biopsy for a possible cancer diagnosis. The patient asks, "Why do I need this test?" What is the best response by the nurse?

"A biopsy is the only definitive way to diagnose cancer."

"It will determine if you have an infection instead of cancer."

"It will confirm the presence of metastasis."

"A biopsy can detect genetic mutations associated with cancer."

Answer and Explanation

The Correct Answer is A

A. A biopsy involves obtaining a tissue sample for microscopic examination, which is the gold standard for confirming the presence and type of cancer.
B. While a biopsy may incidentally detect infection, it is not primarily used to differentiate infection from cancer.
C. While biopsies can identify cancer in a specific tissue, imaging studies and additional biopsies are typically needed to confirm metastasis.
D. Although molecular testing on biopsy samples can be done later to detect mutations, the primary purpose of a biopsy is to diagnose whether cancer is present.

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Free Nursing Study Resources

Correct Answer is D

Explanation

A. "I have no appetite." – Loss of appetite (anorexia) is a common and expected symptom of appendicitis.

B. "The pain hurts so much it is making me nauseous." – Incorrect. Severe pain accompanied by nausea is typical in appendicitis and does not require immediate intervention beyond routine care.

C. "If I position myself on my right side, it makes the pain less intense." – Incorrect. Patients often find comfort in certain positions; this statement reflects a common coping mechanism.

D. "The pain seems to be gone now." – Correct. Sudden relief of pain in a patient with appendicitis may indicate rupture of the appendix, which is a medical emergency requiring immediate intervention due to the risk of peritonitis and sepsis.

A. To a certain extent, I control the amount of pain medication I can have." B. I need to tell a nurse if the pain is not controlled well." C. I control my pain medication by pressing the button." D. "I need to call a nurse when I need pain medication."

Correct Answer is D

Explanation

A. The PCA pump allows the patient to self-administer medication within safe limits set by the provider.
B. If the PCA is not effectively managing pain, the nurse needs to be informed to reassess and adjust the plan.
C. The patient can press the button to receive a controlled dose of analgesic.
D. This statement indicates the client does not understand the purpose of a PCA pump, which is designed to eliminate the need to call a nurse for each dose. This response signals the need for further teaching.

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A nurse is reinforcing teaching to a patient undergoing a biopsy for a possible cancer diagnosis. The patient asks, "Why do I need this test?" What is the best response by the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A 25-year-old patient is admitted with appendicitis. Which statement by the patient requires immediate nursing intervention?

Correct Answer is D

Explanation

Which client statement indicates to the nurse the need for further education regarding the use of a patient-controlled analgesia (PCA) pump? Select one:

Correct Answer is D

Explanation

A client with acute pancreatitis is experiencing severe abdominal pain. Which additional finding would concern the nurse the most? Select one:

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