The nurse provides education to a patient who is diagnosed with breast cancer and asks about sites of metastases. Which is the best response by the nurse?

"Your type of cancer may spread to the bones."

"Your type of cancer may spread to the stomach."

"Your type of cancer may spread to the skin."

"Your type of cancer rarely spreads outside the chest."

Answer and Explanation

The Correct Answer is A

A. Breast cancer commonly metastasizes to the bones, liver, lungs, and brain. Bone metastasis is particularly common and is a frequent site for breast cancer to spread.
B. Although some cancers may metastasize to the stomach, breast cancer is more likely to spread to the bones, liver, lungs, and brain.
C. While breast cancer may spread to the skin, this is less common than metastasis to bones, liver, lungs, or brain.
D. Breast cancer can spread outside the chest to distant sites, so it's not accurate to say it "rarely" spreads.

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Correct Answer is C

Explanation

A. Using soap and water is the correct method for hand hygiene when caring for patients with C. diff, as the spores are not effectively removed by alcohol-based sanitizers.
B. Rubbing hands together to remove C. diff spores is the correct technique when washing with soap and water.
C. Alcohol-based hand sanitizers are not effective in removing C. diff spores. Soap and water are necessary to physically remove the spores from the hands.
D. Hand hygiene for family members is important in preventing the spread of infection, and this statement reflects proper infection control practices.

A. Restricting fluid intake B. Inserting an indwelling urinary catheter to prevent skin breakdown C. Restricting visitors with communicable illnesses D. Replacing hand hygiene with gloves

Correct Answer is C

Explanation

A. Restricting fluid intake is not necessary for a patient with neutropenia. In fact, maintaining adequate hydration is essential, especially when managing the effects of chemotherapy.
B. Inserting an indwelling urinary catheter increases the risk of infection and should only be done when absolutely necessary, especially in patients with neutropenia who are at increased risk of infections.
C. Neutropenic patients have a decreased ability to fight infections, so it is crucial to restrict visitors who have communicable illnesses to prevent the patient from becoming infected.
D. Hand hygiene is essential, and gloves should not replace proper hand washing. The nurse should wash hands before and after patient contact to prevent infection, not simply wear gloves.

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The nurse provides education to a patient who is diagnosed with breast cancer and asks about sites of metastases. Which is the best response by the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which statement by the nursing assistant indicates the need for further teaching regarding infection control measures for patients with Clostridioides difficile (C. diff)?

Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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