Nokea
The nurse teaching a young women's community service group about breast self-examination (BSE) will include that:
- A. BSE will reduce the risk of dying from breast cancer
- B. BSE should be done daily while taking a bath or shower
- C. Annual mammograms should be scheduled in addition to BSE
- D. Performing BSE after the menstrual period is more comfortable
Correct Answer: D
Rationale: BSE timing matters post-menstrual breasts are less tender, swollen, or lumpy, making self-checks comfy and accurate, a key teaching point for young women. BSE doesn't cut mortality evidence lags; daily checks overdo it, monthly's enough. Mammograms start later (e.g., 40), not yet for this group. Nurses stress this timing, boosting compliance and awareness, a practical nudge in breast health education, sidestepping unproven claims for a doable habit.
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The blood glucose level rises after meals. This glucose is stored in various organs under the influence of insulin. Question: During the postprandial period, most glucose is stored in which tissue?
- A. Intestinal tissue
- B. Liver tissue
- C. Muscle tissue
- D. Fat tissue
Correct Answer: C
Rationale: Post-meal glucose floods muscle insulin shoves it there, 60% of the haul, a chronic storehouse. Liver grabs next, fat lags, intestines pass nurses track this, a bulk uptake king.
A nurse is caring for a client who has heart failure and a prescription for digoxin 125 mcg PO daily. Available is digoxin PO 0.25 mg/tablet. How many tablets should the nurse administer per dose?
- A. 0.25
- B. 0.5
- C. 1
- D. 1.5
Correct Answer: B
Rationale: Digoxin math: 125 mcg ordered, 0.25 mg (250 mcg) per tablet 125 ÷ 250 = 0.5 tablets, a precise dose nurses calc to boost heart failure's pump, avoiding toxicity's narrow edge. Wrong cuts (0.25, 1, 1.5) miss the mark. Accuracy here rules, a daily win in this med game.
Which statement with respect to the disadvantages of insufficient physical activity is most correct?
- A. People are not so much concerned with the disadvantages, because these will only affect them in the long run
- B. The disadvantages can be compensated by moderate eating
- C. When explained, the disadvantages are enough to motivate people to change their behaviour
- D. The disadvantages result from inadequate behavioural control (self-efficacy)
Correct Answer: A
Rationale: Inactivity's downsides long-term creep, folks shrug, not diet-fixed, rarely spur change, or just control flops. Nurses see this apathy, a chronic slow burn.
A client tells the oncology nurse about an upcoming vacation to the beach to celebrate completing radiation treatments for cancer. What response by the nurse is most appropriate?
- A. Avoid getting salt water on the radiation site.
- B. Do not expose the radiation area to direct sunlight.
- C. Have a wonderful time and enjoy your vacation!
- D. Remember you should not drink alcohol for a year.
Correct Answer: B
Rationale: Post-radiation skin at the treatment site remains highly sensitive to ultraviolet (UV) rays due to damage to the epidermal layer, increasing the risk of burns, irritation, or delayed healing. The nurse's most appropriate response is to advise against exposing the radiation area to direct sunlight, a precaution that persists for at least a year after treatment to protect skin integrity. Avoiding saltwater isn't a standard concern unless the skin is broken, which isn't indicated here. Simply wishing the client well ignores the teaching opportunity and potential risk. The alcohol restriction isn't a universal post-radiation rule unless tied to specific treatments or conditions not mentioned. Educating about sun exposure empowers the client to enjoy the vacation safely, aligning with nursing's preventive care focus and ensuring the celebration isn't marred by avoidable complications.
A patient with Hodgkin's lymphoma who is undergoing external radiation therapy tells the nurse, 'I am so tired I can hardly get out of bed in the morning.' Which intervention should the nurse add to the plan of care?
- A. Minimize activity until the treatment is completed.
- B. Establish time to take a short walk almost every day.
- C. Consult with a psychiatrist for treatment of depression.
- D. Arrange for delivery of a hospital bed to the patient's home.
Correct Answer: B
Rationale: Radiation fatigue's brutal Hodgkin's therapy saps energy, but short walks fight deconditioning without overtaxing. Resting fully risks weakness; depression isn't assumed fatigue's treatment-driven. A bed doesn't fix it. Nurses in oncology balance this activity preserves function, key for lymphoma patients slogging through radiation's grind.