Nokea
The client has a diagnosis of rule-out Paget’s disease. Which test provides a definitive diagnosis of the disease?
- A. A breast biopsy.
- B. A diagnostic mammogram.
- C. Ultrasound of the breast.
- D. Magnetic resonance imaging.
Correct Answer: A
Rationale: Breast biopsy provides a definitive diagnosis for Paget’s disease by confirming malignant cells in the nipple/areola. Mammogram, ultrasound, and MRI are supportive but not confirmatory.
You may also like to solve these questions
The client who is scheduled to have a breast biopsy with sentinel node dissection states, 'I don't understand. What does a sentinel node biopsy do?' Which scientific rationale should the nurse use to base the response?
- A. A dye is injected into the tumor and traced to determine spread of cells.
- B. The surgeon removes the nodes that drain the diseased portion of the breast.
- C. The nodes felt manually will be removed and sent to pathology.
- D. A visual inspection of the lymph nodes will be made while the client is sleeping.
Correct Answer: A
Rationale: Sentinel node biopsy involves injecting dye to identify the first lymph node(s) draining the tumor, assessing cancer spread. Removing all draining nodes is outdated, manual palpation is not specific, and visual inspection alone is insufficient.
The client diagnosed with ovarian cancer has had eight (8) courses of chemotherapy. Which laboratory data warrant immediate intervention by the nurse?
- A. Absolute neutrophil count of 3,500.
- B. Platelet count of 150 · 103.
- C. Red blood cell count of 5 · 106.
- D. Urinalysis report of 100 WBCs.
Correct Answer: D
Rationale: Urinalysis with 100 WBCs indicates a urinary tract infection, requiring immediate intervention in a chemotherapy patient at risk for sepsis. Other values are within normal ranges.
The nurse is working in a health clinic. Which disease is required to be reported to the public health department?
- A. Pelvic inflammatory disease.
- B. Epididymitis.
- C. Syphilis.
- D. Ectopic pregnancy.
Correct Answer: C
Rationale: Syphilis is a reportable STD to track and control spread, per public health regulations. PID, epididymitis, and ectopic pregnancy are not typically reportable.
The school nurse is preparing a class on testicular cancer for male high school seniors. Which information regarding testicular self-examination should the nurse include?
- A. Perform the examination in a cool room under a fan.
- B. Any lump should be examined by an HCP as soon as possible.
- C. Discuss having a second person confirm a negative result.
- D. The procedure will cause mild discomfort if done correctly.
Correct Answer: B
Rationale: Any lump detected during testicular self-examination requires prompt HCP evaluation to rule out cancer. Cool rooms, second-person confirmation, and discomfort are not recommended.
The client is diagnosed with metastatic prostate cancer to the bones. Which nursing intervention should the nurse implement?
- A. Prepare for a transurethral resection of the prostate.
- B. Keep the foot of the bed elevated at all times.
- C. Place the client on a scheduled bowel regimen.
- D. Discuss the client’s altered sexual functioning.
Correct Answer: C
Rationale: Bone metastasis increases constipation risk (e.g., from analgesics); a bowel regimen prevents complications. TURP is for obstruction, bed elevation is irrelevant, and sexual function is secondary.