The nurse educates the 40-year-old female patient about the American Cancer Society (ACS) recommendations for early cancer detection. Which information should she include when teaching?
Select one:
Obtain a mammogram every year.
Plain a sigmoidoscopy every 5 years.
Get an annual fecal occult blood examination.
Obtain a Pap smear exam every year.
The Correct Answer is A
A. According to ACS guidelines, women at average risk for breast cancer should begin annual mammograms at age 40.
B. While sigmoidoscopies are part of colorectal cancer screening, they typically begin at age 45, not 40, for average-risk individuals.
C. Fecal occult blood testing is recommended annually starting at age 45, not 40.
D. Pap smears are now recommended every 3 years for women aged 21 to 29, and for women aged 30 to 65, Pap testing every 3 years or every 5 years with HPV co-testing. Annual testing is no longer recommended unless there's a clinical indication.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Ranitidine is an H2 receptor blocker that decreases stomach acid production.
B. pantoprazole (Protonix) – Pantoprazole is a proton pump inhibitor (PPI) that significantly reduces gastric acid secretion.
C. metronidazole (Flagyl) – Metronidazole is an antibiotic used to treat anaerobic bacterial infections; it has no effect on stomach acid secretion.
D. omeprazole (Prilosec) – Omeprazole is a proton pump inhibitor that blocks acid production in the stomach
Correct Answer is D
Explanation
A. Gas forming in bowel contents may occur due to bacterial activity, but this does not explain the clinical significance of flatus in the context of paralytic ileus recovery.
B. Flatus indicating inadequate decompression is incorrect; flatus usually suggests that gas is moving through the intestines, not that it is accumulating.
C. Flatus resulting from forceful vomiting is inaccurate; vomiting expels stomach contents, not intestinal gas, and does not produce flatus.
D. The passage of flatus is a key sign that bowel motility is resuming, which is especially significant in a client with a previously diagnosed paralytic ileus.
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