A client is concerned she may be at risk for breast cancer because she has several relatives, including her mother, diagnosed with it. Her mother died of breast cancer at age 38. Which of the following tests should the nurse anticipate will be done to assess this client's risk?
GnHR
ERB83
CA-125
BRCA1 gene
The Correct Answer is D
Rationale:
A. GnRH (Gonadotropin-releasing hormone) testing is related to reproductive hormone regulation, not breast cancer risk assessment.
B. ERBB3 is a gene involved in cell signaling but is not the primary gene tested for inherited breast cancer risk.
C. CA-125 is a tumor marker primarily used to monitor ovarian cancer, not breast cancer risk.
D. BRCA1 gene testing is indicated for clients with a strong family history of breast cancer, especially early-onset cases, to assess inherited risk.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Rationale:
A. Hypersensitivity reactions to cisplatin typically involve symptoms like rash, shortness of breath, or facial swelling—not fatigue alone.
B. Hypercalcemia is more commonly associated with cancers like multiple myeloma or bone metastases, and it usually causes confusion, nausea, or constipation—not just fatigue.
C. Hepatomegaly may occur in metastatic disease but is not a routine complication of cisplatin and is less directly linked to fatigue.
D. Fatigue in a client receiving chemotherapy such as cisplatin is commonly due to anemia, a result of bone marrow suppression. Checking the complete blood count (CBC) is essential to assess for decreased red blood cells or other cytopenias.
Correct Answer is D
Explanation
Rationale:
A. Applying heat in the first 24–48 hours after a sprain can increase swelling and is not recommended. Cold therapy (ice) is preferred initially to reduce inflammation.
B. Wrapping should start from the toes and move upward toward the knee to promote venous return and proper compression, not from the knee down.
C. Bearing weight too soon can worsen the injury; rest and limited movement are advised initially.
D. Applying ice during the first 24–48 hours helps reduce swelling and pain, and is an appropriate self-care measure for a recent ankle sprain, indicating proper understanding of discharge instructions.
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