A nurse in a clinic is reinforcing teaching about breast health with a client who has a family history of breast cancer. Which of the following instructions should the nurse include?
Consume a diet high in antioxidants.
Expect clear discharge from the nipples.
Include meats grilled over high heat in the diet.
Complete breast self-examinations 1 week prior to menstruation.
The Correct Answer is A
Choice A reason: A diet high in antioxidants can help reduce the risk of cancer and is a healthy choice for someone with a family history of breast cancer.
Choice B reason: Clear discharge from the nipples is not typically expected and should be evaluated by a healthcare provider if it occurs.
Choice C reason: Meats grilled over high heat can produce carcinogens; therefore, they should be limited in the diet of someone at risk for breast cancer.
Choice D reason: Completing breast self-examinations 1 week prior to menstruation is recommended for consistency in examination due to hormonal changes that can affect breast tissue.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: The patient should be positioned leaning forward with arms and head resting supported on a bedside adjustable table. This position allows for the expansion of the intercostal spaces and easier access to the pleural space for fluid removal.
Choice B reason: Elevating the knees is not a recommended position for thoracentesis as it does not facilitate access to the pleural space and may cause discomfort or movement that could complicate the procedure.
Choice C reason: The prone position is not suitable for thoracentesis because it does not allow for proper access to the pleural space and can increase the risk of complications.
Choice D reason: The lithotomy position is used for gynecological, urological, and proctological procedures and is not appropriate for thoracentesis, which requires access to the chest area.
Correct Answer is A
Explanation
Choice A reason: A brain natriuretic peptide (BNP) level of 275 pg/mL is elevated and is indicative of heart failure, as BNP is released in response to ventricular volume expansion and pressure overload.
Choice B reason: A sodium level of 140 mEq/L is within the normal range and does not specifically indicate heart failure.
Choice C reason: A calcium level of 9.0 mg/dL is within the normal range and is not a direct indicator of heart failure.
Choice D reason: A potassium level of 4.0 mEq/L is within the normal range and does not indicate heart failure.
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