treatment modalities for estrogen receptor positiv
in stage iiib carcinoma of the breast the cancer m
in a 29 year old female client who is being succes
Written for
NGN NCLEX /NCLEX NGN RN
NGN NCLEX /NCLEX NGN RN
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By: ifeomaohaju • 3 months ago
By: Ashley96 • 3 months ago
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Case
Study
NCLEX
Questions
Treatment
modalities
for
estrogen-receptor
positive
tumors
include
(select
all
that
apply):
A.
Estrogen-receptor
downregulators
(ERDs)
B.
Selective
estrogen-receptor
response
modulators
(SERMs)
C.
Hormone
therapy
D.
Aromatase
inhibitors
-
ANSA,
B,
D
Stage
IIIB
describes
invasive
breast
cancer
in
which:
A.
The
tumor
measures
up
to
2
cm
and
has
not
spread
outside
the
breast
B.
No
tumor
is
found
in
the
breast
C.
Cancer
may
have
spread
to
up
to
9
axillary
lymph
nodes
causing
swelling
D.
The
cancer
has
metastasized
to
other
organs
-
ANSC.
Cancer
may
have
spread
to
up
to
9
axillary
lymph
nodes
causing
swelling
In
stage
IIIB
carcinoma
of
the
breast
the
cancer
may
have
spread
to
up
to
9
axillary
lymph
nodes.
Ms.
T
has
8
of
12
lymph
nodes
affected.
Answers
A
or
B
may
occur
in
stage
I,
and
answer
choice
D
describes
stage
IV
3.Which
of
the
following
are
important
interventions
when
caring
for
a
patient
with
Cushing
syndrome?
(Select
all
that
apply)
A.
Increase
carbohydrate
intake
B.
Monitoring
blood
glucose
levels
C.
Observing
for
signs
of
hypotension
D.
Protecting
patient
from
exposure
to
infection
-
ANSB,
D
Hyperglycemia
occurs
with
Cushing
disease
because
of
glucose
intolerance
(associated
with
cortisol-induced
insulin
resistance)
and
increased
gluconeogenesis
by
the
liver.
High
levels
of
corticosteroids
increase
susceptibility
to
infection
and
delay
wound
healing.
In
a
29-year-old
female
client
who
is
being
successfully
treated
for
Cushing's
syndrome,
nurse
Lyzette
would
expect
a
decline
in:
A.
Menstrual
flow
B.
Bone
mineralization
C.
Hair
loss
D.
Serum
glucose
level
-
ANSD.
Serum
glucose
level Serum
glucose
levels
tend
to
be
high
in
patients
with
Cushing's
Syndrome
due
to
excess
corticosteroids
in
the
body.
When
Cushing's
syndrome
is
being
treated
successfully,
a
nurse
should
expect
a
decline
in
the
patient's
serum
glucose
level
Mr.
A
has
been
admitted
to
the
hospital
with
a
diagnosis
of
acute
pancreatitis
and
the
nurse
is
assessing
his
pain.
What
type
of
pain
is
associated
with
this
diagnosis?
A.
Burning
and
aching,
located
in
the
left
lower
quadrant
and
radiating
to
the
leg
B.
Severe
and
unrelenting,
located
in
the
epigastric
area
and
radiating
to
the
back
C.
Burning
and
aching,
located
in
the
epigastric
area
and
radiating
to
the
umbilicus
D.
Severe
and
unrelenting,
located
in
the
left
lower
quadrant
and
radiating
to
the
hip
-
ANSB.
Severe
and
unrelenting,
located
in
the
epigastric
area
and
radiating
to
the
back
The
pain
associated
with
acute
pancreatitis
is
often
severe
and
unrelenting,
is
located
in
the
epigastric
region,
and
radiates
to
the
back.
It
is
also
described
as
sudden
onset,
deep
piercing,
continuous
or
steady.
The
other
options
are
incorrect.
The
nurse
is
reviewing
the
prescription
for
Mr.
A.,
a
55
year-old
male
admitted
to
the
hospital
with
a
diagnosis
of
acute
pancreatitis.
Which
interventions
would
the
nurse
expect
to
be
prescribed
for
the
client?
Select
all
that
apply.
A.
Administer
antacids
as
prescribed
B.
Encourage
coughing
and
deep
breathing
C.
When
food
is
allowed
follow
a
high-carbohydrate,
low-fat,
high-protein
diet
D.
Maintain
the
client
in
a
supine
and
flat
position.
E.
Give
Demerol
or
Dilaudid
as
prescribed
for
pain.
-
ANSA,
B,
C,
E
Because
abdominal
pain
is
a
prominent
symptom
of
pancreatitis,
pain
medication
such
as
Demerol
or
Dilaudid
should
be
administered
as
prescribed.
The
client
is
susceptible
to
respiratory
infections
because
the
retroperitoneal
fluid
raises
the
diaphragm,
which
causes
the
client
to
take
shallow,
guarded
abdominal
breaths.
Therefore
measures
such
as
turning,
coughing,
and
deep
breathing
should
be
instituted.
Antacids
may
be
prescribed
to
suppress
gastrointestinal
secretions.
The
diet
is
usually
high
in
carbohydrates
since
it
is
less
stimulating
the
exocrine
portion
of
the
pancreas.
A
patient
comes
into
the
clinic
with
complaints
of
joint
stiffness
and
pain.
For
which
symptom
might
the
nurse
assess
to
distinguish
rheumatoid
arthritis
from
other
connective
tissue
disorders?
A.
The
patient
has
unilateral
joint
involvement
B.
Morning
stiffness
that
lasts
more
than
one
hour
C.
Inflammation
of
the
great
toe
D.
Dry
mouth
and
dry
eyes
-
ANSB.
Morning
stiffness
that
lasts
more
than
one
hour
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