Nokea
If the client is asymptomatic and at low risk for breast cancer, the nurse would be correct in advising her to have a baseline mammogram at what age?
- A. 35
- B. 45
- C. 50
- D. 55
Correct Answer: C
Rationale: The American Cancer Society recommends that women at average risk for breast cancer begin annual mammograms at age 45, but a baseline mammogram may be considered at age 40-50 depending on guidelines. For low-risk, asymptomatic women, age 50 is often the standard starting point for routine screening.
You may also like to solve these questions
When the nurse does a physical assessment of this client, which technique is best for determining the extent of the prolapse?
- A. Examine the perineum when the client rolls from side to side.
- B. Examine the perineum as the client stands and bears down.
- C. Examine the perineum with the client in a dorsal recumbent position.
- D. Examine the perineum with a lubricated speculum and flashlight.
Correct Answer: B
Rationale: Standing and bearing down makes a prolapsed uterus more visible, allowing accurate assessment of its extent.
Which information should the nurse include in the discharge teaching for the client recovering from an abdominal hysterectomy?
- A. The client should report any vaginal bleeding or cramping to the surgeon.
- B. The client should start a vigorous exercise routine to restore her muscle tone.
- C. The client should continue sitting in the bedside chair at least six (6) hours daily.
- D. The client should soak in a warm tub bath each night for one (1) hour.
Correct Answer: A
Rationale: Reporting vaginal bleeding or cramping is critical, as these may indicate complications like hemorrhage or infection. Vigorous exercise is contraindicated, prolonged sitting is unnecessary, and tub baths risk infection.
The occupational health nurse is preparing a class regarding sexually transmitted diseases (STDs) for employees at a manufacturing plant. Which high-risk behavior information should be included in the class information?
- A. Engaging in oral or anal sex decreases the risk of getting an STD.
- B. Using a sterile needle guarantees the client will not get an STD.
- C. The more sexual partners, the greater the chance of developing an STD.
- D. If a condom is used, the client will not get a sexually transmitted disease.
Correct Answer: C
Rationale: Multiple sexual partners increase STD risk due to greater exposure. Oral/anal sex carries risk, sterile needles prevent bloodborne STDs but not others, and condoms reduce but don’t eliminate risk.
If the client asks about long-term consequences that are associated with this disorder, the nurse accurately identifies which outcome?
- A. Cancer of the cervix
- B. Premature labors
- C. Spontaneous abortions
- D. Difficulty getting pregnant
Correct Answer: D
Rationale: Pelvic inflammatory disease can cause scarring of the fallopian tubes, leading to infertility or difficulty conceiving.
The office manager schedules a mandatory staff meeting for all nursing personnel. As the nurse enters the room, several documents containing the client's name, medical records number, mammogram results, and diagnosis are found unattended on the table. Which nursing actions are appropriate in this situation? Select all that apply.
- A. Notify housekeeping to come and dispose of the papers.
- B. Toss the papers in the trash.
- C. Put the papers into the shredder bin.
- D. Try to determine who left the papers unattended.
- E. State the papers neatly, placing them off to the side.
- F. Notify the office manager of the breach in confidentiality.
Correct Answer: C,F
Rationale: Shredding the papers ensures secure disposal of protected health information (PHI), and notifying the office manager addresses the confidentiality breach, as required by HIPAA regulations.