A nurse is caring for a client who has cardiomyopathy and is experiencing sensory overload.Which of the following actions should the nurse take?

Choice A rationale: A BRCA1 mutation significantly increases the risk of breast cancer. BRCA1 and BRCA2 genes are involved in the repair of DNA damage, and mutations in these genes impair this function, leading to an increased likelihood of developing breast cancer. Women with a BRCA1 mutation have a substantially higher lifetime risk of breast cancer compared to the general population.

Choice B rationale: Race can be a risk factor for breast cancer, as certain racial and ethnic groups have differing incidences of the disease. Native American women, while having a lower overall risk compared to some other groups, may still have unique risk factors that contribute to their likelihood of developing breast cancer. Additionally, healthcare access and cultural factors can influence outcomes.

Choice C rationale: Having the first pregnancy at age 25 is associated with a lower risk of breast cancer compared to women who have their first pregnancy at a later age. Early full-term pregnancies are generally considered protective against breast cancer because they lead to differentiation of breast cells, which may reduce susceptibility to cancerous changes.

Choice D rationale: The biopsy result showing fibroadenoma, a benign breast tumor, does not itself increase the risk of breast cancer. Fibroadenomas are non-cancerous and are common among younger women. While they may require monitoring, they do not indicate a higher risk of malignancy.

Choice A rationale

Installing grab bars in the shower assists with balance and prevents falls. Grab bars provide stability and support, which is crucial for clients who have had a CVA and may have impaired balance and coordination.

Choice B rationale

Placing a towel in the shower to prevent slipping is not recommended as it can shift and cause more risk. Anti-slip mats or adhesive strips are better options for preventing slips.

Choice C rationale

Hiring a home care aide to perform all ADLs may promote dependency and reduce the client's independence. Encouraging the use of assistive devices and adaptive techniques helps the client regain as much independence as possible.

Choice D rationale

The statement "You will not become fatigued when you use assistive devices" is incorrect. Clients may still experience fatigue, even with assistive devices. It's important to balance activity and rest to prevent overexertion.