The nurse is providing preoperative education to a client at high risk for breast cancer who is scheduled for an incisional biopsy is being done instead of excisional biopsy.
Which answer by the nurse is appropriate?
“An incisional biopsy is performed because it is known to be less painful and more accurate than other forms of testing.
“An incisional biopsy is performed to confirm a diagnosis and so that special studies can be done that will help determine the best treatment”
“An incisional biopsy is performed to assess the potential for recovery from a mastectomy.”
“An incisional biopsy is performed on clients who are younger than age 40 and who are otherwise healthy.”
“An incisional biopsy is performed on clients who are younger than age 40 and who are otherwise healthy.”
The Correct Answer is B
“An incisional biopsy is performed to confirm a diagnosis and so that special studies can be done that will help determine the best treatment”
The appropriate answer is b because an incisional biopsy is typically performed to obtain a tissue sample from a suspicious mass to confirm a diagnosis and to help determine the best treatment approach. It is not performed primarily to assess potential for recovery or to select a less painful or more accurate test, nor is it limited to a specific age group or health status. The nurse should provide accurate and relevant information to the client to help them understand the purpose and benefits of the procedure, and to alleviate any concerns or fears they may have.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Stage IV ovarian cancer is an advanced stage, and it is unlikely that the cancer can be cured. While treatment may help manage the symptoms and slow down the progression of the disease, it is essential to have realistic expectations and understand the limitations of treatment options.
Option b, "My type of cancer has spread to other tissues" is a correct understanding of the situation and indicates the client has understood their diagnosis.
Option c, "I have chemotherapy after my hysterectomy" is an accurate statement about treatment and indicates the client has understood the plan of care.
Option d, "I may need to talk with my family about hospice" is also an appropriate statement, as clients with stage IV ovarian cancer may need to consider end-of-life care and hospice services
Correct Answer is A
Explanation
A. Leukopenia: Chemotherapy with paclitaxel and carboplatin can cause myelosuppression, leading to a significant decrease in white blood cells (leukopenia). This makes the client more susceptible to infections and is a common and serious adverse effect that the nurse should monitor closely.
B. Metabolic acidosis: This condition is less commonly associated with chemotherapy agents like paclitaxel and carboplatin. It usually results from conditions like renal failure, diabetic ketoacidosis, or severe diarrhea rather than chemotherapy.
C. Hyperphosphatemia: This electrolyte imbalance is not a typical adverse effect of paclitaxel and carboplatin. It is more commonly associated with conditions like chronic kidney disease or excessive phosphate intake.
D. Respiratory alkalosis: This condition is typically caused by hyperventilation and is not a known direct adverse effect of paclitaxel and carboplatin chemotherapy. The nurse should monitor for more common side effects related to chemotherapy, such as leukopenia.
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