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
- Avoid commercial feminine hygiene products. such as sprays.
The nurse should provide the following guidelines for a client who has experienced a vaginal
infection:
c. Avoid commercial feminine hygiene products, such as sprays, which can disrupt the natural pH balance of the vagina and increase the risk of infection.
d. Do not restrict daily washing but avoid using harsh soaps and perfumed products in the genital area, as these can also disrupt the natural pH balance.
- Wear loose-fitting cotton underwear instead of tight-fitting synthetic underwear, as cotton allows for better air circulation and helps to keep the genital area dry.
- Do not douche, as this can also disrupt the natural pH balance of the vagina and increase the
risk of infection.
In addition to these guidelines, the nurse should also encourage the client to maintain good overall hygiene, including showering or bathing regularly and wiping from front to back after using the toilet. The nurse should also advise the client to seek medical attention if any symptoms of a vaginal infection reoccur or worsen.
- Avoid commercial feminine hygiene products. such as sprays.
The nurse should provide the following guidelines for a client who has experienced a vaginal
infection:
c. Avoid commercial feminine hygiene products, such as sprays, which can disrupt the natural pH balance of the vagina and increase the risk of infection.
d. Do not restrict daily washing but avoid using harsh soaps and perfumed products in the genital area, as these can also disrupt the natural pH balance.
- Wear loose-fitting cotton underwear instead of tight-fitting synthetic underwear, as cotton allows for better air circulation and helps to keep the genital area dry.
- Do not douche, as this can also disrupt the natural pH balance of the vagina and increase the
risk of infection.
In addition to these guidelines, the nurse should also encourage the client to maintain good overall hygiene, including showering or bathing regularly and wiping from front to back after using the toilet. The nurse should also advise the client to seek medical attention if any symptoms of a vaginal infection reoccur or worsen.
Correct Answer is B
Explanation
The nurse should identify the risk factor of the client giving birth to their first child at age 40 as this is associated with an increased risk of certain pregnancy complications and health problems for both the mother and the baby, such as gestational diabetes, preeclampsia, preterm delivery, and chromosomal abnormalities in the baby. Breastfeeding, experiencing peri-menopausal symptoms, and menarche at age 13 are not significant risk factors in this context. However, it is important to note that each of these factors may be relevant to the client's overall health history and should be documented and taken into consideration as appropriate.
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