A nurse is educating a 50-year-old female client.
Which of the following statements should the nurse include in the teaching?
You should have a complete eye examination every 2 years until the age of 64.
You should have your fasting blood glucose level checked every 6 years.
You should have your stool tested for blood every other year until the age of 74.
You should have your hearing screened every 5 years.
The Correct Answer is A
Choice A rationale
This is the correct answer. Regular eye examinations are important for early detection of eye diseases and conditions. The American Optometric Association recommends adults aged 18 to 60 have an eye exam at least every two years, and adults 61 and older have an eye exam annually.
Choice B rationale
Regular monitoring of blood glucose levels is crucial for individuals with diabetes or those at risk. However, the frequency of checking fasting blood glucose levels can vary depending on individual health status and risk factors.
Choice C rationale
Stool tests for blood are used to detect colorectal cancer. The American Cancer Society recommends that adults aged 45 and older with an average risk of colorectal cancer undergo regular screening with either a high-sensitivity stool-based test or a structural (visual) exam, depending on the patient’s preference and test availability.
Choice D rationale
Regular hearing screenings are important, especially as individuals age. However, the frequency of hearing screenings can vary based on individual risk factors and symptoms.
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Correct Answer is B
Explanation
Choice A rationale
While it’s important to respect a client’s wishes and provide a supportive environment, avoiding the client’s health status may not be beneficial. Open communication about the client’s condition can help in planning and providing appropriate care.
Choice B rationale
Providing quiet time during visits for prayer or meditation can be a valuable part of a care plan for a client with end-stage breast cancer. This can offer spiritual comfort and peace, which can enhance the client’s quality of life.
Choice C rationale
Placing the client’s name and medical condition on an online prayer chain may not be appropriate without the client’s explicit consent due to privacy concerns.
Choice D rationale
Recommending the client seek out hospice services rather than seek treatment may not be the best approach. The decision between pursuing treatment and entering hospice care should be made by the client and their healthcare team.
Correct Answer is A
Explanation
Choice A rationale
This is the correct answer. Regular eye examinations are important for early detection of eye diseases and conditions. The American Optometric Association recommends adults aged 18 to 60 have an eye exam at least every two years, and adults 61 and older have an eye exam annually.
Choice B rationale
Regular monitoring of blood glucose levels is crucial for individuals with diabetes or those at risk. However, the frequency of checking fasting blood glucose levels can vary depending on individual health status and risk factors.
Choice C rationale
Stool tests for blood are used to detect colorectal cancer. The American Cancer Society recommends that adults aged 45 and older with an average risk of colorectal cancer undergo regular screening with either a high-sensitivity stool-based test or a structural (visual) exam, depending on the patient’s preference and test availability.
Choice D rationale
Regular hearing screenings are important, especially as individuals age. However, the frequency of hearing screenings can vary based on individual risk factors and symptoms.
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