Which of the following assessments would be most useful in determining a patient’s genetic risk for breast cancer?

Choice A rationale
While it is true that an increased weight in the abdomen can lead to discomfort when lying down, simply having extra pillows in bed may not be sufficient to address the issue. Ascites, or the accumulation of fluid in the peritoneal cavity, can cause significant discomfort and even

pain. It can also lead to respiratory issues as the fluid puts pressure on the diaphragm, making breathing difficult. Therefore, while extra pillows may help to some extent by allowing the patient to find a more comfortable position, they are not a comprehensive solution.
Choice B rationale
Advising the patient not to wear undergarments because they will not fit due to the increased weight in the abdomen is not a medically sound advice. While it is true that ascites can cause distension of the abdomen, the focus should be on treating the underlying condition and managing the symptoms, rather than on the fit of the patient’s clothing. Moreover, the choice of clothing is a personal decision and may have psychological implications for the patient.
Choice C rationale
The statement that the increased weight in the abdomen means that the patient can no longer exercise due to the strain on the heart is not entirely accurate. While it is true that ascites can put additional strain on the heart and other organs, it does not necessarily mean that all forms of exercise are contraindicated. In fact, gentle forms of exercise may be beneficial for overall health and well-being. However, any exercise regimen should be discussed with and approved by a healthcare provider.
Choice D rationale
This is the correct choice. Due to the increased abdominal weight from ascites, the patient’s balance might indeed be affected, increasing the risk of falls. Therefore, advising the patient to take their time with walking is a valid precaution. Fall prevention is a key aspect of care for patients with ascites due to end-stage liver disease.

Choice A rationale

Rice is a safe food choice for a child diagnosed with celiac disease. Celiac disease is a chronic immune disorder triggered by the consumption of gluten, a protein naturally present in wheat, barley, and rye. When people with celiac disease eat foods with gluten, the immune system attacks the small intestine, causing inflammation and damage that affects digestion, absorption, and nutrition. Rice is naturally gluten-free and can be included in the diet of a person with celiac disease.
Choice B rationale
Rye is not a safe food choice for a child diagnosed with celiac disease. Rye contains gluten, which triggers an immune response in people with celiac disease. This immune response can cause damage to the small intestine and lead to various health problems.
Choice C rationale
Wheat is not a safe food choice for a child diagnosed with celiac disease. Wheat contains gluten, which triggers an immune response in people with celiac disease. This immune response can cause damage to the small intestine and lead to various health problems.
Choice D rationale
Barley is not a safe food choice for a child diagnosed with celiac disease. Barley contains gluten, which triggers an immune response in people with celiac disease. This immune response can cause damage to the small intestine and lead to various health problems.