The TNM (Tumor size, Node (lymph) & Metastases) classification is not used for brain tumors for:
Most patients with CNS tumors develop metastatic disease
Brain tumors are more deadly
Tumor size is less relevant than the location and histology
Brain tumors have poor prognosis
The Correct Answer is C
Choice A reason: Most patients with CNS tumors do not develop metastatic disease. Central nervous system (CNS) tumors, including brain tumors, typically do not metastasize outside the CNS. Instead, they grow and exert pressure on adjacent brain structures, leading to neurological symptoms.
Choice B reason: While brain tumors can be very deadly, the TNM classification system is not avoided due to the lethality of the tumors. The main reason for not using the TNM system is because the classification criteria do not align well with the unique aspects of brain tumors.
Choice C reason: Tumor size is less relevant than the location and histology for brain tumors. The location of the tumor within the brain and its histological characteristics (e.g., type, grade, and molecular features) are more critical for prognosis and treatment planning. Brain tumors can cause significant clinical issues even when small, depending on their location.
Choice D reason: Brain tumors can have a poor prognosis, but this is not the reason the TNM classification is not used. The classification system's limitation is primarily due to the fact that brain tumors' behavior and treatment considerations depend more on their location and histological features than on tumor size, nodal involvement, and metastasis, which are the focus of the TNM system.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Micturition, or urination, is stimulated by the filling of the bladder. As the bladder fills with urine, stretch receptors in the bladder wall are activated. These receptors send signals to the brain, which then triggers the urge to urinate. When the bladder is full enough, the brain sends signals to the muscles of the bladder to contract and to the urethral sphincter to relax, allowing urine to be expelled from the body.
Choice B reason: Segmental movement refers to the rhythmic contractions and relaxations of segments of the intestine that help in the movement of contents along the gastrointestinal tract. It is not related to the process of micturition.
Choice C reason: Rectal filling is associated with the defecation reflex, not micturition. When the rectum fills with feces, stretch receptors in the rectal walls are activated, leading to the urge to defecate. This process is separate from the mechanisms involved in urination.
Choice D reason: Mass movements are large, strong contractions of the colon that move fecal matter toward the rectum, facilitating defecation. They are not involved in the process of micturition.
Correct Answer is D
Explanation
Choice A reason: Excessive fluid replacement can lead to hypervolemia because it increases the total volume of fluid in the body. This can overwhelm the body's regulatory mechanisms, leading to fluid overload.
Choice B reason: Dehydration is not a cause of hypervolemia. In fact, dehydration is the opposite condition, where there is a lack of fluid in the body. Dehydration leads to a decrease in fluid volume, not an increase.
Choice C reason: Liver cirrhosis can cause hypervolemia because it impairs the liver's ability to regulate fluid balance. This can result in fluid retention and buildup in the body, leading to hypervolemia.
Choice D reason: Kidney failure can cause hypervolemia because the kidneys are responsible for maintaining fluid balance by excreting excess fluid. When the kidneys fail, they cannot effectively remove excess fluid, leading to fluid overload.
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