The nurse is caring for a 45-year-old female patient with a strong family history of breast cancer. What does the nurse teach the patient regarding cancer prevention?
Have a clinical breast examination every 3 years.
Have a mammogram every 5 years.
Have an annual clinical breast examination.
Have a mammogram every 3 years.
The Correct Answer is C
A. Clinical breast examination (CBE) should be done annually for women at higher risk, not every 3 years.
B. Mammograms are generally recommended every year starting at age 40 for women at average risk. For those with a strong family history of breast cancer, earlier and more frequent screening may be advised.
C. An annual clinical breast examination (CBE) is recommended for women, especially those with a higher risk of breast cancer, such as a family history. This allows healthcare providers to check for any abnormalities in the breasts.
D. Mammograms every 3 years are generally not sufficient for women at higher risk; they should start annual mammograms at age 40, or possibly earlier based on family history or genetic factors.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Delirium due to cardiac medications is a possibility, but the patient’s history of cerebrovascular accident (CVA) makes vascular neurocognitive disorder more likely. Delirium typically presents acutely and is often associated with medical or environmental triggers.
B. Vascular neurocognitive disorder (formerly vascular dementia) is often seen in clients with a history of cerebrovascular accidents (strokes). The client’s symptoms of memory problems, confusion, and disorientation could indicate this type of cognitive impairment, which is caused by reduced blood flow to the brain due to vascular damage.
C. Neurocognitive disorder due to Huntington's disease typically presents with movement disorders (chorea), mood changes, and gradual cognitive decline, rather than sudden memory loss and disorientation.
D. Alzheimer’s disease typically presents with gradual memory decline and cognitive impairment, but the sudden onset of symptoms in a patient with a history of CVA makes vascular neurocognitive disorder more probable.
Correct Answer is C
Explanation
A. Restricting fluid intake is not necessary for a patient with neutropenia. In fact, maintaining adequate hydration is essential, especially when managing the effects of chemotherapy.
B. Inserting an indwelling urinary catheter increases the risk of infection and should only be done when absolutely necessary, especially in patients with neutropenia who are at increased risk of infections.
C. Neutropenic patients have a decreased ability to fight infections, so it is crucial to restrict visitors who have communicable illnesses to prevent the patient from becoming infected.
D. Hand hygiene is essential, and gloves should not replace proper hand washing. The nurse should wash hands before and after patient contact to prevent infection, not simply wear gloves.
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