A nurse is teaching a female middle adult client about health screenings. Which of the following instructions should the nurse include in the teaching?

"You should get a dental assessment every 6 months."

You should get a tuberculosis screening every 5 years."

You should get a breast examination every 3 years."

"You should get a glaucoma screening every 4 years."

Answer and Explanation

The Correct Answer is A

A. "You should get a dental assessment every 6 months." This is correct. It is recommended that adults visit the dentist every 6 months for a check-up and cleaning to maintain oral health.
B. "You should get a tuberculosis screening every 5 years." Routine tuberculosis screening every 5 years is not typically recommended for middle adults unless they are at high risk for TB exposure.
C. "You should get a breast examination every 3 years." Clinical breast exams are recommended every 3 years for women in their 20s and 30s and annually for women aged 40 and older, not for middle-aged adults specifically.
D. "You should get a glaucoma screening every 4 years." Glaucoma screening frequency can vary, but it is often recommended that adults have their eyes checked every 2 to 4 years starting at age 40, with more frequent screenings as they age.

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Correct Answer is D

Explanation

A. "Report a firm ridge below the breasts to the provider." A firm ridge along the bottom curve of the breast can be normal. It’s important to distinguish between normal breast tissue and abnormal lumps. Encouraging clients to report any changes or new lumps to the provider is more appropriate.
B. "Keep your arm relaxed at your side on the side you are examining." The correct technique involves raising the arm on the side being examined to help spread out the breast tissue, making it easier to palpate for lumps and abnormalities.
C. "Use your thumb and forefinger to palpate each breast for lumps." The correct technique involves using the pads of the fingers (not the thumb and forefinger) to palpate the breast in a systematic pattern, such as circular motions or vertical strips, to thoroughly check all areas of the breast.
D. "Use firm pressure to palpate near the area of the ribs and chest wall." Using firm pressure is appropriate for palpating deeper tissues closer to the ribs and chest wall, as this helps detect lumps that may not be superficial.

A. Levothyroxine 100 mcg PO qd B. Heparin 15,000 units SC q12h C. Lorazepam 0.5 mg PO qhs D. Acyclovir 400 mg PO tid

Correct Answer is D

Explanation

A. Levothyroxine 100 mcg PO qd "qd" is an error-prone abbreviation and should be avoided. It should be written as "daily."
B. Heparin 15,000 units SC q12h "SC" is an error-prone abbreviation and should be written as "subcutaneously."
C. Lorazepam 0.5 mg PO qhs "qhs" is an error-prone abbreviation and should be written as "at bedtime."
D. Acyclovir 400 mg PO tid This is correctly transcribed using acceptable abbreviations.

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A nurse is teaching a female middle adult client about health screenings. Which of the following instructions should the nurse include in the teaching?

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