The nurse is presenting information to the public regarding steps to decrease the risk for cancer development. The nurse includes which information as a form of primary prevention?

Human papilloma virus (HPV) vaccination in teenagers

BRCA1 and BRCA2 testing when the client's mother and sister died of ovarian cancer

Annual mammogram for women over 40 years

Rehabilitation exercises for those who received chemotherapy

Answer and Explanation

The Correct Answer is A

A. The HPV vaccination is a form of primary prevention as it aims to prevent the initial occurrence of cervical cancer by protecting against the human papillomavirus, which is a major risk factor for this cancer.
B. BRCA1 and BRCA2 testing is a form of genetic testing used for risk assessment rather than prevention; it helps identify individuals at high risk for breast and ovarian cancers but does not prevent cancer itself.
C. Annual mammograms are a secondary prevention measure aimed at early detection of breast cancer rather than preventing the disease from occurring, as they help identify cancer in its early stages.
D. Rehabilitation exercises post-chemotherapy are supportive measures for patients undergoing treatment; they do not constitute primary prevention, which focuses on measures taken before cancer develops.

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Correct Answer is ["2"]

Explanation

Given:

Prescribed dosage: 40 mg
Dosage per tablet: 20 mg

Calculation:

Number of tablets = Prescribed dosage / Dosage per tablet
Number of tablets = 40 mg / 20 mg
Number of tablets = 2 tablets

A. Administer a narcotic analgesic every two hours. B. Encourage a low-fat diet the first post-op day. C. Encourage the use of the incentive spirometer. D. Ambulate the client in the hall the first post-op evening.

Correct Answer is C

Explanation

A. While administering a narcotic analgesic may be necessary for pain management, it does not address the immediate post-operative needs related to respiratory function and mobility.
B. Encouraging a low-fat diet is important after a cholecystectomy, but this can be addressed after ensuring the client's respiratory function and mobilization are stable.
C. Encouraging the use of the incentive spirometer is the priority intervention as it promotes lung expansion, reduces the risk of atelectasis, and improves oxygenation, which is crucial in the post-operative period.
D. While ambulating the client is important for recovery and preventing complications such as deep vein thrombosis, it should follow ensuring that the patient is able to effectively use the incentive spirometer to maintain respiratory function first.

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The nurse is presenting information to the public regarding steps to decrease the risk for cancer development. The nurse includes which information as a form of primary prevention?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient is to receive 40 mg PO of Lisinopril. The medication is supplied in 20 mg tablets. What should the nurse administer?

Correct Answer is ["2"]

Explanation

The nurse is caring for a client post-operatively following an open (incisional) cholecystectomy. Which would be the priority nursing intervention for this client?

Correct Answer is C

Explanation

A client is to receive a continuous infusion of IV Insulin at 6 units per hour. Pharmacy delivers a concentration of 75 units of regular insulin in 150 mL of NSS. At what rate should the nurse set the IV pump?

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The nurse is caring for a client receiving radiation therapy for treatment of oral cancer. Which new finding is the greatest concern?

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