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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","E"]
Explanation
A. Lung cancer is more common in males, particularly due to higher smoking rates historically, although both men and women are at risk.
B. Melanoma of the skin is more common in males, especially in older age groups. While it is important for both genders to protect their skin, men tend to develop more aggressive forms of melanoma.
C. Thyroid cancer is actually more common in women than men, though men are more likely to die from it.
D. Breast cancer is far less common in males than in females, though men can develop it, the incidence is much lower.
E. Colorectal cancer is more common in males than females, with men being at a higher risk overall.
Correct Answer is D
Explanation
A. Finding comfort in connecting with family is a healthy coping mechanism and a normal part of the grieving process, not an indicator of clinical depression.
B. Loss of appetite can occur with both grief and depression, so it is not specific enough to indicate clinical depression.
C. Intense sadness is a normal reaction to grief, especially shortly after a loss. It is not necessarily pathological.
D. Loss of interest in pleasurable activities (anhedonia) is a hallmark symptom of clinical depression. When sadness persists and interferes with daily functioning and enjoyment of life, it may signal the transition from normal grief to a depressive disorder.
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