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 performing monthly breast self-examinations at age 35."
"You should receive a breast examination from your provider each year after age 30."
"You should receive a breast ultrasound every 3 years after age 50."
"You should start receiving mammograms as early as age 40."
The Correct Answer is D
A. Monthly breast self-examinations are valuable, but the recommended starting age is typically earlier, around age 20, regardless of family history.
B. While regular breast examinations by a healthcare provider are important, they may not be sufficient as the primary screening method for breast cancer.
C. Breast ultrasound may be used as a supplementary screening tool but is not typically recommended as the primary screening method.
D. Mammograms are the primary screening method for breast cancer, and for women without a family history, they are typically recommended to start at age 40, although guidelines may vary slightly.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","D","E"]
Explanation
In the scenario provided, the nurse should take further action based on the following findings: The client's distended abdomen, reports of nausea, and coughing suggest possible intolerance to the tube feedings or another complication. A gastric residual volume of 550 mL is significantly higher than the standard safe limit of 500 mL, indicating delayed gastric emptying or feeding intolerance. The pH of gastric aspirate at 4.5 is within normal limits, suggesting that the tube is likely placed correctly. However, the elevated heart rate of 110/min could be a response to discomfort or underlying stress. The pulse oximetry reading of 90% on room air is below the normal range, which typically is 95-100%, indicating potential impaired gas exchange or early signs of respiratory distress. These findings warrant immediate nursing interventions and possibly a reassessment of the feeding regimen, along with measures to improve the client's respiratory function and comfort. It is essential to monitor for further signs of aspiration, respiratory distress, or other complications, and to communicate these findings to the healthcare team for appropriate management.
Correct Answer is A,B,C,D,E
Explanation
Pouring 0.9% sodium chloride solution into the sterile basin provides the solution necessary for cleaning the inner cannula.
Unlocking and removing the inner cannula is the first step in the process of tracheostomy care.
Scrubbing the inside and outside of the inner cannula with a small brush helps remove secretions and debris.
Wiping the inside of the inner cannula with a folded pipe cleaner further cleans the inner surfaces.
Cleansing the stoma site with 0.9% sodium chloride solution completes the tracheostomy care procedure.
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