Nokea
Which is the recommended age range for an annual option for a mammogram?
- A. 25 and 30 years
- B. 31 and 34 years
- C. 35 and 39 years
- D. 40 and 44 years
Correct Answer: D
Rationale: The American Cancer Society recommends that mammograms be an annual option for women starting between ages 40 and 44 years. Annual mammography for women ages 45-54 is recommended.
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The nurse gives discharge instructions to a person who has had a modified radical mastectomy of the right side to perform the 'elbow pull-in.' Which step is the first step of the exercise?
- A. Pull elbows forward until they touch.
- B. Lower and straighten the arms.
- C. Extend arms sideways to shoulder level.
- D. Bring elbows back and extend arms.
- E. Clasp hands behind neck.
Correct Answer: C
Rationale: The exercise requires that you bring the arms out at shoulder level, clasp hands behind head and bring elbows to touch, then bring elbows back and extend arms lower and straighten arms.
For which reason will the nurse encourage the patient who is recovering from a modified radical mastectomy to exercise the affected arm?
- A. To reduce pain.
- B. To stimulate appetite.
- C. To reduce lymphedema.
- D. To increase muscle tension.
Correct Answer: C
Rationale: An exercise regimen, built up gradually, can help reduce lymphedema following a modified radical mastectomy.
Which patient is most at risk for the infection of epididymitis?
- A. 17-year-old athlete who trains for several hours a day
- B. 22-year-old who has been exposed to mumps
- C. 45-year-old who was circumcised at the age of 10
- D. 50-year-old who has smoked for 30 years
Correct Answer: A
Rationale: Symptoms can occur after trauma to the genital area, after instrumentation of the urethra and cystoscopy, and after physical exertion or prolonged sexual activity.
A 20-year-old patient presents in the emergency room with a temperature of 103°F, blood pressure of 92/58, headache, and desquamation of both palms. Which question will the nurse make sure to ask about during the interview?
- A. Any recent traveling outside the country
- B. Immunization against influenza
- C. Method of birth control
- D. Use of tampons
Correct Answer: D
Rationale: These are signs of toxic shock frequently brought on by leaving a tampon in place too long. The nurse should inquire about tampon use, headache, muscle pain, and fatigue.
Select the intervention that should be performed with caution, in the affected arm, on patients who have undergone a modified radical mastectomy.
- A. Vaccinations
- B. Taking of blood pressure or samples
- C. Insertion of IV line
- D. Physical therapy on uninvolved arm
- E. Wear watch and jewelry on involved arm
- F. Carry purse on involved arm or shoulder
Correct Answer: A,B,C
Rationale: Patients should be taught not to have any procedures involving the arm on the affected side-BP readings, injections, intravenous infusion of fluids, or the drawing of blood, which may cause edema or infection-and to guard against infections from burns, needle pricks (sewing), and gardening injuries.