Author Question: A patient who has taken glucocorticoids for 3 years tells a nurse, I've lost my job. I don't know ... (Read 18 times)

RYAN BANYAN · **on:** Jul 23, 2018

A patient who has taken glucocorticoids for 3 years tells a nurse, I've lost my job. I don't know how I'm going to support my family and pay all the bills. Which glucocorticoid dosage adjustment would the nurse expect?

a. Decreased dosage
b. Increased dosage
c. Alternate-day dosing
d. Discontinuation of the drug

Question 2

The nurse educator at a hospital is teaching a patient education class about the characteristics of neoplastic cells.

To evaluate understanding, the nurse asks, What is the most distinguishing property of an invasive growth? Which response by a participant demonstrates a need for fur-ther teaching? a. Unrestrained growth and division; malignant cells are unresponsive to feedback mechanisms.
b. Normal tissues remain segregated and don't invade other tissues.
c. Division of neoplastic cells always occurs rapidly.
d. Malignant cells are free of constraints that inhibit invasive growth and can pene-trate adjacent tissues.

fatboyy09 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

b

Answer to Question 2

C
The division of neoplastic cells is not necessarily rapid. Although some cancers are composed of cells that divide rapidly, others are composed of cells that divide slowly. This statement indicates a need for further teaching.
Malignant cells are unresponsive to the feedback mechanisms that regulate cellular proliferation in healthy tissue; no further teaching is needed.
In the absence of malignancy, tissues remain segregated from one another; cells of one type do not invade territory that belongs to cells of a different type. No further teaching is needed.
Malignant cells are free of the constraints that inhibit invasive growth; no further teaching is needed.