The nurse is performing a comprehensive health history of a client who is in their 50s. The nurse should identify what risk factor that increases risk of complications?
The client breastfed each of their children.
The client gave birth to their first child at age 40.
The client experienced peri-menopausal symptoms starting at age 46.
The client experienced menarche at age 13.
The Correct Answer is B
The nurse should identify the risk factor of the client giving birth to their first child at age 40 as this is associated with an increased risk of certain pregnancy complications and health problems for both the mother and the baby, such as gestational diabetes, preeclampsia, preterm delivery, and chromosomal abnormalities in the baby. Breastfeeding, experiencing peri-menopausal symptoms, and menarche at age 13 are not significant risk factors in this context. However, it is important to note that each of these factors may be relevant to the client's overall health history and should be documented and taken into consideration as appropriate.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Stage IV ovarian cancer is an advanced stage, and it is unlikely that the cancer can be cured. While treatment may help manage the symptoms and slow down the progression of the disease, it is essential to have realistic expectations and understand the limitations of treatment options.
Option b, "My type of cancer has spread to other tissues" is a correct understanding of the situation and indicates the client has understood their diagnosis.
Option c, "I have chemotherapy after my hysterectomy" is an accurate statement about treatment and indicates the client has understood the plan of care.
Option d, "I may need to talk with my family about hospice" is also an appropriate statement, as clients with stage IV ovarian cancer may need to consider end-of-life care and hospice services
Correct Answer is A
Explanation
Breast self-examination is an essential part of breast cancer detection and should be performed regularly by all women, regardless of their medical history. While the client may have undergone a left modified radical mastectomy, this does not eliminate the possibility of developing breast cancer in the right breast or other parts of the body. Therefore, it is essential to continue performing breast self-examination regularly to detect any changes that may occur in the right breast.
Option b, "Is lucky that the cancer was caught in time" and option c, "should schedule a follow- up appointment in 6 months" may also be appropriate responses depending on the client's specific situation but option a is the most universally applicable response.
Option d, "I have irregular menses" is unrelated to the topic and does not address the client's
concern or needs.
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