A community health nurse is preparing a poster for an educational session for a group of women with whom she will be discussing the risk factors for breast cancer.
Which factors increase the risk for breast cancer and should be listed on the poster? Select all that apply.

Family history of breast cancer.

Multiparity.

Exposure of the chest to high dose radiation.

Previous cancer of breast, uterus, or ovaries.

Answer and Explanation

Correct Answer : A,C,D

Choice A rationale

A family history of breast cancer is a significant risk factor because genetic mutations, such as BRCA1 and BRCA2, can be inherited and increase the likelihood of developing breast cancer.

Choice B rationale

Multiparity (having multiple pregnancies) is generally considered to reduce the risk of breast cancer. This is because pregnancy and breastfeeding lower the number of menstrual cycles a woman has, reducing her lifetime exposure to estrogen.

Choice C rationale

Exposure of the chest to high-dose radiation, especially during childhood or young adulthood, increases the risk of breast cancer. Radiation can cause mutations in breast cells, leading to cancer.

Choice D rationale

Previous cancer of the breast, uterus, or ovaries increases the risk of developing breast cancer. This is due to shared risk factors and the possibility of metastasis or recurrence.

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Correct Answer is D

Explanation

Choice A rationale

Allowing the client to ambulate one day after a detached retinal repair is not recommended. Ambulation can increase intraocular pressure and disrupt the healing process of the retina. The client should be advised to limit physical activity to prevent any strain on the eye.

Choice B rationale

Removing the eye patch during the day is not advisable as it can expose the eye to potential injury or infection. The eye patch helps protect the eye and maintain the correct position for healing. It should be worn as directed by the healthcare provider.

Choice C rationale

Encouraging coughing and deep-breathing exercises is not appropriate for a client who has undergone retinal repair. These activities can increase intraocular pressure and risk detachment of the retina. The client should avoid activities that cause strain or pressure on the eyes.

Choice D rationale

Avoiding reading and writing is crucial for a client one day postoperative following a detached retinal repair. These activities can cause rapid eye movements and strain, which can interfere with the healing process and reattachment of the retina. The client should be advised to rest their eyes and avoid any activities that require intense focus or eye movement.

A. The medication is to be used for approximately 10 days followed by a gradual tapering off. B. The medication should be applied on a regular schedule for the rest of the client’s life. C. The medication will be used until the client’s intraocular pressure returns to normal. D. The medication is to be applied when the client is experiencing eye pain.

Correct Answer is B

Explanation

Choice A rationale

Timolol is a beta-blocker used to reduce intraocular pressure in patients with open-angle glaucoma. It is not intended for short-term use or gradual tapering off. The medication must be used consistently to maintain its therapeutic effect.

Choice B rationale

Timolol should be applied on a regular schedule for the rest of the client’s life to effectively manage intraocular pressure and prevent further damage to the optic nerve.

Choice C rationale

Timolol does not cure glaucoma or normalize intraocular pressure permanently. Continuous use is necessary to control the condition.

Choice D rationale

Timolol is not used as a pain reliever. It is specifically prescribed to manage intraocular pressure in glaucoma patients.

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A community health nurse is preparing a poster for an educational session for a group of women with whom she will be discussing the risk factors for breast cancer. Which factors increase the risk for breast cancer and should be listed on the poster? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning care for a client 1 day postoperative following a detached retinal repair. Which of the following instructions should the nurse include?

Correct Answer is D

Explanation

A nurse at an ophthalmology clinic is providing teaching to a client who has open-angle glaucoma and a new prescription for timolol eye drops. Which of the following instructions should the nurse provide?

Correct Answer is B

Explanation

A nurse is assessing a client for conductive hearing loss. When using the Rinne test, which of the following results should the nurse identify as an indication that the client has conductive hearing loss of the left ear?

A client calls the health care clinic and asks the nurse to describe the first signs of Lyme disease. The nurse informs the client to watch for which signs/symptoms of stage I Lyme disease?

A nurse in an emergency department is caring for a client who is suspected to have anaphylaxis following a bee sting. Which of the following actions should the nurse take first?

A nurse is monitoring a client who has experienced anaphylactic shock. Which manifestations are associated with this condition? Select all that apply.

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A community health nurse is preparing a poster for an educational session for a group of women with whom she will be discussing the risk factors for breast cancer.
Which factors increase the risk for breast cancer and should be listed on the poster? Select all that apply.