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 receive a breast examination from your provider each year after age 30."
"You should start performing monthly breast self-examinations at age 35."
The Correct Answer is A
A. "You should start receiving mammograms as early as age 40.": This recommendation aligns with current guidelines suggesting that women with no family history of breast cancer should start screening mammograms at age 40, with continued screening based on individual risk factors.
B. "You should receive a breast ultrasound every 3 years after age 50.": Ultrasounds are typically used as a supplementary tool to mammograms, not as a primary screening method. Mammograms are generally recommended for routine screening.
C. "You should receive a breast examination from your provider each year after age 30.": While clinical breast exams are important, mammograms are the primary screening tool for breast cancer, and annual exams are generally not recommended as a sole screening measure.
D. "You should start performing monthly breast self-examinations at age 35.": Breast self-examinations are no longer recommended as a primary screening tool due to a lack of evidence supporting their effectiveness in reducing breast cancer mortality.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. To an insurance agency in regard to a life insurance policy: Disclosure to an insurance agency requires client consent, as it involves sharing personal health information for purposes beyond direct care.
B. To an employer for a pre-employment screening: Disclosure to an employer requires consent, as it involves the client's health information being used for employment decisions.
C. To a medical interpreter service on behalf of a client: Disclosing information to a medical interpreter is permissible without explicit written consent, as the interpreter is considered part of the healthcare team and bound by confidentiality rules.
D. To a family member when the client is not available: Disclosure to family members without the client's consent is generally not allowed unless the information is necessary for the client's care and the client has previously authorized such disclosure.
Correct Answer is A
Explanation
A. Calf swelling: Calf swelling is a common sign of deep-vein thrombosis (DVT) and should be reported to the provider immediately as it indicates a possible thrombus.
B. Bradycardia: While bradycardia can be a concern, it is not specifically indicative of DVT and is less directly related to the immediate risk of DVT compared to calf swelling.
C. Tortuous veins: Tortuous veins are more indicative of chronic venous insufficiency rather than an acute DVT.
D. Clammy skin: Clammy skin can be associated with various conditions but is not a primary indicator of DVT compared to calf swelling.
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