A nurse is contributing to a community center's in-service program about early detection of breast cancer. Which of the following recommendations should the nurse make for female clients who do not have a family history of breast cancer?

"You should start receiving mammograms as early as age 40."

"You should receive a breast ultrasound every 3 years after age 50.

"You should start performing monthly breast self-examinations at age 35."

"You should receive a breast examination from your provider each year after age 30."

Answer and Explanation

The Correct Answer is A

A. Starting mammograms at age 40 is recommended by various health organizations for average-risk women, making this the correct choice.

B. Breast ultrasounds are not typically recommended as routine screening for average-risk women; mammograms are preferred.

C. While breast self-examinations can be beneficial, starting them at age 35 is not a standard recommendation; they are often advised from age 20.

D. Annual breast examinations by a provider starting at age 30 is not a common guideline; it is typically recommended to have clinical exams every 1 to 3 years starting at age 20, and annually after age 40.

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Correct Answer is A

Explanation

A. A photograph can be used as part of positive patient identification, especially if other identifiers (like name and birthdate) are also confirmed.

B. Medical diagnosis is not unique to a client and cannot confirm identity.

C. Age alone is not sufficient for positive identification.

D. Room numbers can change and should never be used as identifiers.

A. deep tendon reflexes 4+ B. Generalized weakness C. mild leg cramping D. Lungs clear E. Heart rate irregular F. Bowel sounds hyperactive x 4 quadrants

Correct Answer is ["A","B","C","E","F"]

Explanation

Deep Tendon Reflexes 4+: This indicates hyperreflexia, which can be associated with electrolyte imbalances, particularly magnesium deficiency, or central nervous system issues. In this context, the client has a low magnesium level (0.7 mEq/L), which can cause neuromuscular irritability and potentially dangerous complications.

Generalized Weakness and Mild Leg Cramping: While muscle strength is reported as equal, the generalized weakness and cramping suggest possible electrolyte imbalances or neurological issues. The combination with low magnesium levels raises concern for further complications.

Heart Rate Irregular: An irregular heart rate can indicate potential cardiac issues, especially in the context of electrolyte imbalances such as hypomagnesemia and the use of hydrochlorothiazide, which can contribute to electrolyte disturbances.

Bowel Sounds Hyperactive x 4 Quadrants: Although hyperactive bowel sounds can be associated with various conditions, in this case, they may be linked to the client's history of vomiting and possible electrolyte imbalance, warranting follow-up to ensure appropriate management of gastrointestinal symptoms.

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Body system	Findings
Neurological	Alert and oriented to person, place, and time: deep tendon reflexes 4+
Musculoskeletal	Generalized weakness with equal bilateral muscle strength and mild leg cramping
Respiratory	Lungs clear
Cardiovascular	Heart rate irregular: Heart rate 95/min
Gastrointestinal	Bowel sounds hyperactive x 4 quadrants

A nurse is contributing to a community center's in-service program about early detection of breast cancer. Which of the following recommendations should the nurse make for female clients who do not have a family history of breast cancer?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer medications to a client. Which of the following pieces of information should the nurse use as a client identifier?

Correct Answer is A

Explanation

Correct Answer is ["A","B","C","E","F"]

Explanation

A nurse is preparing to obtain a capillary blood specimen from a client. Which of the following actions should the nurse take? (Select all that apply.)

A nurse is collecting data from a client who has hypomagnesemia. Which of the following findings should the nurse identify as a positive Chvostek's sign?

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A nurse is contributing to a community center's in-service program about early detection of breast cancer. Which of the following recommendations should the nurse make for female clients who do not have a family history of breast cancer?