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.

Answer and Explanation

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.

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Correct Answer is C

Explanation

Choice A reason: While assistive personnel can help, it is empowering for the client to be as independent as possible.

Choice B reason: Social interaction is important for client wellbeing and should not be discouraged unless it interferes with eating.

Choice C reason: Describing the food placement as a clock is a common practice that helps visually impaired individuals locate their food independently.

Choice D reason: Small handled adaptive utensils may be helpful, but the priority is to enable the client to know the location of the food on the plate.

A. A client who has a spinal cord injury and has a prescription for a condom catheter. B. A client who has immune thrombocytopenic purpura and a platelet count of 150,000/mm. C. A client who reports pain in his left calf and has a respiratory rate of 32/min. D. A client who requires a signed consent form prior to cardiac catheterization.

Correct Answer is C

Explanation

Choice A reason: While the client with a spinal cord injury does need care, it is not as immediately life-threatening as the symptoms described in choice C.

Choice B reason: A platelet count of 150,000/mm is within the normal range (150,000 to 450,000/mm), so this client's situation is not urgent.

Choice C reason: The client reporting pain in the left calf with an elevated respiratory rate could be experiencing a deep vein thrombosis (DVT) leading to a pulmonary embolism, which is a medical emergency.

Choice D reason: Obtaining a signed consent form is important but not as time sensitive as assessing and treating a potential DVT.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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