The nurse is reading a patient's chart and notes the patient has a tumor stage of IV. Which describes the meaning of stage IV cancer?
Tumor in situ, no invasion of other tissues.
Distant metastasis to other sites.
Abnormal cells present, has spread into nearby tissues.
No abnormal cells.
The Correct Answer is B
Choice A reason: Tumor in situ refers to a tumor that has not invaded surrounding tissues, which is not indicative of stage IV cancer.
Choice B reason: Stage IV cancer is characterized by distant metastasis, meaning the cancer has spread to other sites away from the primary location.
Choice C reason: While the spread into nearby tissues indicates progression, it does not necessarily mean stage IV unless there is distant metastasis.
Choice D reason: The presence of no abnormal cells would not be consistent with any stage of cancer.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Thinking/content of thought refers to the logical process of thought and coherence, not directly to the experience of reality.
Choice B reason: Mood and affect pertain to the emotional state and its expression, not the perception of reality.
Choice C reason: Judgment involves decision-making abilities and the evaluation of situations, not the perception of reality.
Choice D reason: Perception is the component that deals with how a person experiences reality, including any hallucinations or delusions they may have.
Correct Answer is A
Explanation
Choice A reason: A urine output of 18 mL/hr is significantly lower than the normal range (typically around 0.5-1 mL/kg/hr), indicating possible renal hypoperfusion, an early sign of shock.
Choice B reason: While blood pressure is an important indicator, it may not drop until later stages of shock.
Choice C reason: Lethargy can be a sign of shock, but it is a more subjective and later symptom compared to the objective measure of urine output.
Choice D reason: An elevated pulse is a compensatory mechanism in shock, but it is not as specific an early indicator as a decrease in urine output.
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