The nurse is talking with a couple at a community health fair who ask how cancerous tumors occur. Which pathophysiological process supports the nurse's reponse about cancer cells developement?
Cell division occurs with the replication of parent cell's DNA distributed to daughter cells with duplicated chromosomes.
Cells proliferate until a finite cell density is reached, which is determined by the availability of growth factors.
Abnormal cell growth that remains confined to its original location, without invading surrounding tissue or spreading.
Alteration of cellular genetics proliferates a mutated cell that progresses to surrounding and distant tissues.
The Correct Answer is D
A. Cell division occurs with the replication of parent cell's DNA distributed to daughter cells with duplicated chromosomes. This describes normal cell division (mitosis), not cancerous growth. In healthy cells, division is controlled, and errors are corrected by regulatory mechanisms.
B. Cells proliferate until a finite cell density is reached, which is determined by the availability of growth factors. Normal cells exhibit contact inhibition, meaning they stop dividing when they reach a certain density. Cancer cells ignore these regulatory signals and continue to grow uncontrollably.
C. Abnormal cell growth that remains confined to its original location, without invading surrounding tissue or spreading. This describes benign tumors, which do not spread. Cancerous (malignant) tumors, however, invade nearby tissues and can metastasize to distant organs.
D. Alteration of cellular genetics proliferates a mutated cell that progresses to surrounding and distant tissues. Cancer begins with genetic mutations that cause uncontrolled cell proliferation. As cancer progresses, cells invade surrounding tissues and may spread (metastasize) to distant sites via the blood and lymphatic systems. This is the defining characteristic of malignancy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is []
Explanation
Potential Condition:
Diabetic neuropathy – The client has a history of type 1 diabetes, and her elevated Hemoglobin A1C (8.2%) suggests poor blood glucose control, which increases the risk of diabetic neuropathy.
Actions to Take:
Perform a sensory test on both feet – Diabetic neuropathy can cause loss of sensation in the feet. A sensory test helps assess nerve function and detect early signs of neuropathy.
Instruct the client to change to clean, dry socks – Proper foot care is crucial for preventing infections and complications in clients with diabetes. Keeping feet dry reduces the risk of skin breakdown and infections.
Parameters to Monitor:
Pedal pulses – Poor circulation is a common complication of diabetes and neuropathy. Monitoring pedal pulses helps assess blood flow to the feet.
Blood glucose – Tight glucose control is essential for preventing the progression of diabetic neuropathy. Monitoring blood glucose levels helps guide management and treatment adjustments.
Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"B"}
Explanation
Rationale:
- Calculate total fat calories for each day:
- Day 1: 24×38=91224 \times 38 = 912 kJ
- Day 2: 22×38=83622 \times 38 = 836 kJ
- Day 3: 23×38=87423 \times 38 = 874 kJ
- Convert total daily calories to kJ:
- Day 1: 3,200×4.184=13,388.83,200 \times 4.184 = 13,388.8 kJ
- Day 2: 2,980×4.184=12,471.32,980 \times 4.184 = 12,471.3 kJ
- Day 3: 3,310×4.184=13,841.03,310 \times 4.184 = 13,841.0 kJ
- Calculate fat percentage:
- Day 1: (912/13388.8)×100=18.2%
- Day 2: (836/12471.3)×100=17.1%
- Day 3: (874/13841.0)×100=17.3%
Average fat percentage: (18.2+17.1+17.3)/3=17.5%
- Interpretation:
- The recommended fat intake range is 20-35% of total calories.
- The client's fat intake is 14-19%, which is below the recommended range.
- The client should increase his fat intake to meet nutritional needs.
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