The nurse is caring for a patient who has been in remission from breast cancer for five years.
What intervention will the nurse include as a component of survivorship care for this patient?

Schedule the patient for annual prophylactic radiation therapy to the affected breast.

Educate the patient about the need for routine mammography screening.

Coordinate with the hospice team to complete the patient's advanced directives.

Teach the patient that they no longer need survivorship care after five years of remission.

Answer and Explanation

The Correct Answer is B

Choice A rationale

Routine prophylactic radiation therapy is not recommended for breast cancer survivors as it can lead to additional health issues such as secondary cancers and tissue damage. It is not a standard survivorship care practice.

Choice B rationale

Regular mammography screenings are crucial for early detection of breast cancer recurrence or new primary breast cancers. It is a standard component of survivorship care.

Choice C rationale

Coordinating with hospice care is more relevant for end-of-life care rather than survivorship care. Survivorship care focuses on maintaining health and monitoring for recurrence, not on palliative care planning.

Choice D rationale

Survivorship care is important throughout a patient's life, not just the first five years after remission. Continuous monitoring and health promotion are essential to detect any late effects of cancer treatment and maintain overall health.

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Correct Answer is D

Explanation

Choice A rationale

Hypoventilation and hypoglycemia are symptoms of untreated hypothyroidism rather than an indicator of effective levothyroxine treatment.

Choice B rationale

Angina and arrhythmias can occur if the dosage of levothyroxine is too high, indicating overmedication rather than effective treatment.

Choice C rationale

Weight gain is a sign of undertreated hypothyroidism and would indicate that the medication is not effective in managing the condition.

Choice D rationale

Normal body temperature and pulse rate indicate that levothyroxine is effectively managing the symptoms of hypothyroidism, as it restores metabolic function to normal levels. .

A. Thyroid storm and elevated triiodothyronine. B. Homans sign and deep vein thrombosis. C. Trousseau sign and overt tetany. D. Chvostek sign and hypocalcemia.

Correct Answer is C

Explanation

Choice A rationale

Thyroid storm is a severe complication of hyperthyroidism and is characterized by high fever, tachycardia, and altered mental state, not carpopedal spasm.

Choice B rationale

Homans sign is an indicator of deep vein thrombosis (DVT) and is not related to carpopedal spasms observed here.

Choice C rationale

Trousseau sign is a clinical sign of latent tetany seen in patients with hypocalcemia, characterized by carpopedal spasm when blood flow is occluded.

Choice D rationale

Chvostek sign is another sign of hypocalcemia, but it is indicated by facial muscle contraction when tapping the facial nerve, not carpopedal spasm.

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The nurse is caring for a patient who has been in remission from breast cancer for five years.What intervention will the nurse include as a component of survivorship care for this patient?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a patient with hypothyroidism who is prescribed levothyroxine.Which assessment data indicates to the nurse that the medication has been effective?

Correct Answer is D

Explanation

The nurse is caring for a patient who is admitted to a surgical unit after a thyroidectomy.The nurse takes and maintains the inflated blood pressure cuff on the patient and observes a carpopedal spasm.What does this result indicate to the nurse?

Correct Answer is C

Explanation

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The nurse is caring for a patient who has been in remission from breast cancer for five years.
What intervention will the nurse include as a component of survivorship care for this patient?