A nurse is obtaining a history from a 30-year-old female client. Which of the following questions would you ask to assess health promotion act?
"Do you have annual breast examinations?"
"Do you have a history of breast cancer?""
"Do you have breast implants?"
"Have you had any problems with nipple discharge?"
The Correct Answer is A
A. This is the most relevant question for assessing health promotion related to breast cancer screening. Regular breast examinations are a key part of health promotion for early detection of potential issues such as breast cancer.
B. While a family history or personal history of breast cancer is important, it doesn't directly assess ongoing health promotion behavior like regular screenings.
C. This question is more focused on potential concerns regarding the breast tissue itself, but it doesn’t assess health promotion activity like breast examinations.
D. This question is focused on symptoms, not health promotion behavior such as prevention and early detection.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Palpation should be done after auscultation to avoid altering the bowel sounds. Palpation can cause changes in the sounds, making it difficult to assess accurately.
B. It is advisable to auscultate bowel sounds when the patient is not actively eating, so this action is appropriate.
C. This is the correct duration for assessing bowel sounds. Auscultating for 3-5 minutes is within the standard practice.
D. If the client has an NG tube, clamping it before auscultation is appropriate as it prevents additional noises or interference from the tube.
Correct Answer is A
Explanation
A. A positive Romberg test occurs when a person loses balance or sways when standing with their eyes closed, indicating a problem with proprioception or balance.
B. Ataxia refers to a lack of coordination or motor control, but the Romberg sign specifically tests balance and proprioception, which is different from ataxia.
C. Lack of coordination may be part of ataxia or other neurological issues, but the Romberg sign specifically refers to balance issues when eyes are closed.
D. The Homans sign is used to test for deep vein thrombosis (DVT) and is not relevant to the test for balance and proprioception described in the scenario.
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