Note credit will be given only if all correct choices

Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. Surveillance for the primary cancer site
2. Removal of the woman’s ovaries because these cancers are almost always estrogen dependent
3. Pharmacologic treatment of severe pain
4. Involvement of a multidisciplinary team in designing the patient’s care
5. Surgical removal of the tumor, which will facilitate rapid recovery
Correct Answer: 1,3,4
Rationale 1 : Most bone cancer diagnosed after age 30 is due to metastasis from a primary tumor in another organ
system.
Rationale 2 : There is no evidence that these cancers are estrogen dependent.
Rationale 3 : Bone pain is typically very severe and requires pharmacological intervention.
Rationale 4 : Bone cancer requires input from a multidisciplinary team to best manage the complexities of the
patient’s care.

Rationale 5 : Surgical removal of a tumor in the spine may be very difficult or impossible. Recovery is not likely
to be rapid.
Global Rationale:
Cognitive Level: Analyzing
Client Need: Physiological Integrity
Client Need Sub: Physiological Adaptation
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 49-1
Question 17
Type: MCSA
Review of a 7-year-old boy’s chart reveals a diagnosis of Duchenne muscular dystrophy made after the patient
began to exhibit Gowers’ maneuver. Which movements would the nurse expect to assess?
1. The child rocks backward and forward several times before being able to get up from a chair.
2. The child extends both arms out to the sides for balance while walking.
3. The child gets onto the hands and knees before achieving a standing position from the floor.
4. The child must roll to the side and push up from the floor with the hands.
Correct Answer: 3
Rationale 1 : This movement does not describe Gowers’ maneuver.
Rationale 2 : This movement does not describe Gowers’ maneuver.
Rationale 3 : Gowers’ maneuver involves the child getting on the hands and knees, raising the rear end, and then
“walking” the hands up the legs until the child reaches a standing position.
Rationale 4 : This movement does not describe Gowers’ maneuver.
Global Rationale:
Cognitive Level: Applying
Client Need: Physiological Integrity
Client Need Sub: Physiological Adaptation
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 49-3
Question 18
Type: MCSA

A young boy has just been diagnosed with Duchenne muscular dystrophy (DMD). The nurse evaluates that
teaching has been effective when the parent makes which statement?
1. “We should avoid getting a wheelchair for as long as possible.”
2. “He should improve over time as the medication begins to take effect.”
3. “He should not have an influenza vaccine.”
4. “Even though his body is weak, his cognitive abilities should be normal.”
Correct Answer: 1
Rationale 1 : It is desirable to encourage the child to remain mobile for as long as possible.