The nurse is caring for a woman with a family history of breast cancer who received a positive result on a breast tumor marker test.
The patient is requesting a bilateral mastectomy.
This is an example of which type of oncologic treatment?

Diagnostic surgery.

Palliative surgery.

Prophylactic surgery.

Reconstructive surgery.

Answer and Explanation

The Correct Answer is C

Choice A rationale

Diagnostic surgery involves procedures done to confirm a diagnosis, such as a biopsy. In this case, the patient has already received a positive result on a breast tumor marker test, so the purpose of surgery is not to diagnose but to prevent the development of breast cancer.

Choice B rationale

Palliative surgery is performed to relieve symptoms or improve quality of life in patients with serious illnesses, often in advanced stages of cancer. The patient’s request for a bilateral mastectomy is not intended to alleviate symptoms but rather to reduce the risk of developing breast cancer.

Choice C rationale

Prophylactic surgery is performed to reduce the risk of cancer in patients with a high predisposition to certain cancers, such as those with a family history or genetic mutations like BRCA1 or BRCA2. The patient’s request for a bilateral mastectomy falls into this category, as it aims to prevent the potential future development of breast cancer.

Choice D rationale

Reconstructive surgery is performed to restore the appearance or function of body parts after trauma, surgery, or congenital defects. While patients undergoing mastectomies may later opt for reconstructive surgery to restore breast appearance, the patient’s current request for a bilateral mastectomy is to proactively prevent breast cancer, not for reconstruction purposes. .

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Correct Answer is ["5"]

Explanation

The correct answer is 5.

Step 1 is 0.5 mg × 1000 mcg ÷ 1 mg = 500 mcg.

Step 2 is 500 mcg ÷ 100 mcg/min = 5 min.

A. Administer isotonic intravenous fluid bolus and loop diuretic. B. Administer STAT anticoagulants and supplemental oxygen via nasal cannula. C. Perform frequent neurologic assessments and administer intravenous corticosteroids. D. Administer interferon beta-1a injections and assist the patient with stretching.

Correct Answer is C

Explanation

Choice A rationale

Administering isotonic intravenous fluids and a loop diuretic is a treatment for conditions like hypercalcemia or fluid overload but is not appropriate for a patient with metastatic prostate cancer presenting with neurologic symptoms.

Choice B rationale

Administering anticoagulants and supplemental oxygen is a treatment for pulmonary embolism but does not address the neurologic symptoms and back pain related to metastatic prostate cancer.

Choice C rationale

Frequent neurologic assessments and administering intravenous corticosteroids are essential for managing spinal cord compression, a common complication in metastatic prostate cancer that can cause back pain, weakness, and paresthesia.

Choice D rationale

Interferon beta-1a is used in multiple sclerosis to reduce inflammation and immune response. Stretching exercises may help but are not the primary intervention for acute neurologic symptoms in metastatic prostate cancer. .

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The nurse is caring for a woman with a family history of breast cancer who received a positive result on a breast tumor marker test.The patient is requesting a bilateral mastectomy.This is an example of which type of oncologic treatment?

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Naxlex Comprehensive Predictor Exams

Correct Answer is ["5"]

Explanation

The nurse is assessing a patient with metastatic prostate cancer who was admitted with sudden onset of back pain, lower extremity weakness, difficulty walking, and paresthesia in their toes.What intervention will the nurse implement for this patient?

Correct Answer is C

Explanation

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The nurse is caring for a woman with a family history of breast cancer who received a positive result on a breast tumor marker test.
The patient is requesting a bilateral mastectomy.
This is an example of which type of oncologic treatment?