A nurse is caring for four clients.
Which of the following clients should the nurse identify as at risk for inner ear inflammation?
A client who has tested positive for Helicobacter pylori.
A client who has a viral respiratory infection.
A client who has a tumor pressing on the pituitary gland.
A client who is taking ampicillin.
The Correct Answer is B
Choice A rationale
Helicobacter pylori infection is associated with gastrointestinal conditions like peptic ulcers and gastritis, not with inner ear inflammation.
Choice B rationale
Viral respiratory infections can spread to the middle ear through the Eustachian tube, potentially leading to inflammation and infection of the inner ear (otitis media).
Choice C rationale
A tumor pressing on the pituitary gland can cause hormonal imbalances but is not directly related to inner ear inflammation.
Choice D rationale
Ampicillin, an antibiotic, is used to treat bacterial infections but does not inherently increase the risk of inner ear inflammation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Traveling by plane is safe for individuals with pacemakers. Security procedures at airports can be managed with proper precautions and communication with security staff.
Choice B rationale
MRIs are generally contraindicated for individuals with pacemakers due to the strong magnetic fields. CAT scans are usually a safer alternative.
Choice C rationale
Holding the cell phone on the opposite side of the pacemaker is recommended to avoid potential interference with the device.
Choice D rationale
Modern microwave ovens are well shielded and do not pose a risk of interference with pacemakers. Individuals with pacemakers can safely use microwaves.
Correct Answer is ["A","B"]
Explanation
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.
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