After reviewing the history of a group of clients, which client should the nurse identify as having the greatest risk for cancer?

A 40-year-old client who smoked cigarettes as a teen.

A 50-year-old woman with a maternal history of breast cancer.

A woman who had a total hysterectomy 5 years ago for a grade 4 Pap smear.

A man with no tumor marker elevation 3 years after prostate cancer treatment.

Answer and Explanation

The Correct Answer is B

A. A 40-year-old client who smoked cigarettes as a teen. While smoking is a known risk factor for several cancers, a brief history of smoking in adolescence does not pose as high a risk as a strong family history of breast cancer. Long-term smoking exposure is more strongly linked to lung and other cancers.
B. A 50-year-old woman with a maternal history of breast cancer. A family history of breast cancer, especially in a first-degree relative (mother, sister, or daughter), significantly increases the risk of developing breast cancer. This client may also carry genetic mutations such as BRCA1 or BRCA2, further elevating the risk.
C. A woman who had a total hysterectomy 5 years ago for a grade 4 Pap smear. A grade 4 Pap smear indicates severe cervical dysplasia or carcinoma in situ, but a total hysterectomy removes the uterus and cervix, significantly reducing the risk of cervical cancer recurrence.
D. A man with no tumor marker elevation 3 years after prostate cancer treatment. This client is in remission with no current signs of active cancer. While prostate cancer survivors require monitoring, his risk is lower compared to someone with an active familial predisposition to cancer.

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Free Nursing Study Resources

Correct Answer is B,D,C,A

Explanation

Inspect head for trauma. Head injuries can be life-threatening, so the nurse must first assess for signs of skull fractures, concussions, or intracranial bleeding that could explain the headache.
Perform a neurological exam. If head trauma is suspected, a neurological exam is essential to assess for altered mental status, coordination deficits, or signs of increased intracranial pressure.
Evaluate range of motion of all joints. After ruling out life-threatening conditions, the nurse should assess for musculoskeletal injuries, fractures, or soft tissue damage from physical abuse.
Provide a safety plan to prevent further violence. Once the client is medically stable, the nurse should provide resources, assess risk for further harm, and develop a safety plan to prevent future abuse.

A. Heart rate 88 beats/minute B. Blood pressure 122/72 mm Hg C. Temperature 100.5° F (38° C) D. Reports of pain with ambulation E. Respirations 20 breaths/minute F. Left lower leg with erythema, warm, and swollen G. Blood glucose 252 mg/dL (13.9 mm

Correct Answer is ["C","D","F","G"]

Explanation

Heart rate 88 beats/minute: This is within the normal range (60-100 bpm) and does not require immediate intervention.

Blood pressure 122/72 mm Hg: This is within a normal range and does not indicate an urgent issue.

Temperature 100.5°F (38°C): An elevated temperature suggests a possible infection, such as cellulitis or deep vein thrombosis (DVT), which requires further evaluation.

Reports of pain with ambulation: Pain with walking, especially in a client with peripheral vascular disease and diabetes, may indicate worsening circulation, infection, or DVT.

Respirations 20 breaths/minute: This is within the normal range (12-20 breaths/minute) and does not require immediate intervention.

Left lower leg with erythema, warm, and swollen: These are signs of inflammation or infection, such as cellulitis or a possible DVT, both of which require urgent medical attention.

Blood glucose 252 mg/dL (13.9 mmol/L): Elevated blood glucose can impair wound healing, increase the risk of infection, and contribute to further complications in a client with diabetes.

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After reviewing the history of a group of clients, which client should the nurse identify as having the greatest risk for cancer?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is B,D,C,A

Explanation

Correct Answer is ["C","D","F","G"]

Explanation

The nurse is caring for a client who has been diagnosed with malnutrition. Which finding supports the medical diagnosis? Reference Range: Body mass index (BMI) [18 to 24.9 kg/m3]

Exhibits Choose the most likely options for the information missing from the statement by selecting from the lists of options provided. The client is eating a diet with dropdownof fat, which indicates that the clientdropdown

A client receives a prescription for 500 mL of lactated Ringer's IV to be infused over 4 hours. The IV administration set delivers 20 gtt/mL. How many gtt/min should the nurse regulate the infusion? (Enter numerical value only. If rounding is required, round to the nearest whole number.)

The nurse is caring for a client diagnosed with psoriasis vulgaris who is receiving a psoralen and ultraviolet A light (PUVA) treatment. Which assessment finding indicates that the client has been overexposed to the treatment?

Which test for HIV is used primarily as a confirmatory test rather than a generalized screening test?

Exhibits The client is seen for a 1 week follow up appointment. The nurse is evaluating the response to the treatment for cellulitis. Select the 3 findings consistent with a therapeutic response to interventions.