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The nurse is taking a history of a 68-year-old woman. What assessment findings would indicate a high risk for the development of breast cancer? (Select all that apply.)

Early menarche

Age greater than 65 years

Genetic factors

History of multiple births

Answer and Explanation

Correct Answer : A,B,C

A. Early menarche increases lifetime exposure to estrogen, raising breast cancer risk.

B. Age is a significant risk factor for breast cancer.

C. Genetic factors, like BRCA mutations, increase the risk.

D. History of multiple births is generally protective against breast cancer.

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Correct Answer is D

Explanation

A. A reduction in lump size and pain with oral contraceptives is expected and does not indicate a need to change the treatment plan.

B. Increased lump pain before menstruation is typical for fibrocystic changes and not a cause for concern.

C. Firm, movable lumps in the upper outer breast quadrants are characteristic of fibrocystic changes and do not suggest an alternative condition.

D. An area that is hot, pink, and tender indicates inflammation or possible infection (e.g., mastitis or abscess), requiring further evaluation and potentially altering the treatment plan.

A. Stool frequency B. Fecal occult test C. Bowel sounds D. Abdominal distention

Correct Answer is B

Explanation

A. Stool frequency does not directly evaluate the prevention of stress ulcers or gastrointestinal bleeding.

B. Fecal occult test directly assesses for hidden gastrointestinal bleeding, making it the best evaluation method.

C. Bowel sounds, while important for general gastrointestinal assessment, bowel sounds do not directly evaluate the effectiveness of Esomeprazole in preventing bleeding.

D. Abdominal distention may indicate a variety of issues but is not specific to assessing the effectiveness of a proton pump inhibitor.

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The nurse is taking a history of a 68-year-old woman. What assessment findings would indicate a high risk for the development of breast cancer? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A 36-yr-old client who has a diagnosis of fibrocystic breast changes calls the nurse in the clinic reporting symptoms. Which information is likely to change the treatment plan?

Correct Answer is D

Explanation

The proton pump inhibitor Esomeprazole (Nexium) is prescribed for a client who incurred extensive burn injuries 5 days ago. Which nursing assessment would best evaluate the effectiveness of the drug?

Correct Answer is B

Explanation

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