The nurse recognizes the staging T3, N2, M2 of the patient's ...

[Beheh]

The nurse recognizes the staging T3, N2, M2 of the patient's cancer. Which interpretation is correct?
 
  a. Small tumor with fewer than two lymph nodes involved.
  b. Large tumor that is localized.
  c. Small tumor with adjacent nodes involved.
  d. Large tumor with extensive lymph node involvement.

Question 2

The 75-year-old patient presents to the emergency department with shortness of breath, fatigue, and a dry cough. When information leads the nurse to suspect that this patient should undergo workup for histoplasmosis?
 
  a. The patient reports drinking pond water.
  b. The patient lives on a farm and raises chickens.
  c. The patient recently went hunting in a wooded area.
  d. The patient owns a landscaping company.

[stallen]

Answer to Question 1

D
The staging means a large tumor (T3) with involvement in regional lymph nodes (N2) and metastasis to distant lymph nodes (M2).

Answer to Question 2

B
Histoplasmosis is caused by a fungus that lives in bird droppings. Contact with chickens coupled with the characteristic signs of dry cough, shortness of breath, and fatigue warrants a workup for histoplasmosis. Legionellosis is a bacterial infection contracted from contaminated drinking water. Rocky Mountain spotted fever and lime disease are transmitted by ticks found in wooded areas. Coccidioidomycosis is contracted by people who engage in desert recreational activities or are working in occupations that require digging in the earth.