Because of the client’s age and negative medical history, the nurse should question her about cocaine use. Cocaine increases myocardial oxygen consumption and can cause coronary artery spasm, leading to tachycardia, ventricular fibrillation, myocardial ischemia, and myocardial infarction.

Option A: Barbiturate overdose may trigger respiratory depression and slow pulse.
Option B: Opioids can cause marked respiratory depression.
Option D: Benzodiazepines can cause drowsiness and confusion.

Breast cancer tumors are fixed, hard, and poorly delineated with irregular edges.

Option A: Nipple retraction — not eversion — may be a sign of cancer.
Option C: A mobile mass that is soft and easily delineated is most often a fluid-filled benign cyst.
Option D: Axillary lymph nodes may or may not be palpable on initial detection of a cancerous mass.

The usual treatment for vaginal cancer is external or intravaginal radiation therapy.

Option A: Less often, surgery is performed. Surgery is usually only used for small stage I or II vaginal cancers and for cancers that were not cured with radiation.
Option B: Chemotherapy typically is prescribed only if vaginal cancer is diagnosed at an early stage, which is rare.
Option D: Immunotherapy isn’t used to treat vaginal cancer. It is a type of cancer treatment that helps the immune system fight cancer. Immunotherapy is a type of biological therapy. Biological therapy is a type of treatment that uses substances made from living organisms to treat cancer.

TIS, N0, M0 denotes carcinoma in situ, no abnormal regional lymph nodes, and no evidence of distant metastasis.

Option A: No evidence of primary tumor, no abnormal regional lymph nodes, and no evidence of distant metastasis is classified as T0, N0, M0.
Option C: If the tumor and regional lymph nodes can’t be assessed and no evidence of metastasis exists, the lesion is classified as TX, NX, M0.
Option D: A progressive increase in tumor size, no demonstrable metastases of the regional lymph nodes, and ascending degrees of distant metastasis is classified as T1, T2, T3, or T4; N0; and M1, M2, or M3.

The nurse should instruct the client to keep the stoma moist, such as by applying a thin layer of petroleum jelly around the edges, because a dry stoma may become irritated.

Option A: The nurse should recommend placing a stoma bib over the stoma to filter and warm air before it enters the stoma.
Option B: The stoma should be kept moist to avoid irritation.
Option C: The client should begin performing stoma care without assistance as soon as possible to gain independence in self-care activities.