A nurse is contributing to a community center's in-service program about early detection of breast cancer. Which of the following recommendations should the nurse make for female clients who do not have a family history of breast cancer?

"You should start receiving mammograms as early as age 40."

"You should receive a breast ultrasound every 3 years after age 50.

"You should start performing monthly breast self-examinations at age 35."

"You should receive a breast examination from your provider each year after age 30."

Answer and Explanation

The Correct Answer is A

A. Starting mammograms at age 40 is recommended by various health organizations for average-risk women, making this the correct choice.

B. Breast ultrasounds are not typically recommended as routine screening for average-risk women; mammograms are preferred.

C. While breast self-examinations can be beneficial, starting them at age 35 is not a standard recommendation; they are often advised from age 20.

D. Annual breast examinations by a provider starting at age 30 is not a common guideline; it is typically recommended to have clinical exams every 1 to 3 years starting at age 20, and annually after age 40.

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Correct Answer is ["A","D","E","F"]

Explanation

A. Splinting the abdomen helps reduce pain during coughing, making it easier for the client to take deep breaths and effectively clear secretions. This is particularly important after abdominal surgery to minimize discomfort and promote effective coughing.

B. While acetaminophen can help with pain relief, it does not directly address the respiratory status of the client. Therefore, it is not a priority action in this context.

C. Ondansetron is effective for managing nausea, but it does not contribute to improving respiratory status directly. It is necessary for comfort, but it is not an action that promotes respiratory function.

D. The incentive spirometer is a valuable tool for encouraging deep breathing, which helps expand the lungs, improve ventilation, and prevent atelectasis (lung collapse). Regular use of the spirometer is crucial, especially in postoperative clients with decreased mobility.

E. Coughing and deep breathing are essential practices to prevent respiratory complications. They help clear secretions and promote lung expansion, which can improve oxygenation and respiratory function.

F. Ambulation is important for improving respiratory status by promoting lung expansion and circulation. It also aids in preventing complications such as deep vein thrombosis (DVT) and pneumonia. Planning ambulation after administering analgesics ensures that the client is more comfortable and able to participate in this activity.

A. Use a filter needle to aspirate the medication. B. Inject air into the ampule prior to drawing the medication into a syringe. C. Cleanse the tip of the ampule with an alcohol swab after opening. D. Add 0.5 mL of diluent to the medication.

Correct Answer is A

Explanation

A. Using a filter needle to aspirate the medication from an ampule is appropriate because it prevents glass particles from entering the syringe when the ampule is broken.

B. Injecting air into an ampule is unnecessary and can be dangerous as ampules are designed to be opened directly without air injection.

C. Cleansing the tip of the ampule should occur before opening it, not after, to ensure sterility is maintained.

D. Adding diluent is not a standard practice unless the specific medication requires reconstitution as directed by a healthcare provider.

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A nurse is contributing to a community center's in-service program about early detection of breast cancer. Which of the following recommendations should the nurse make for female clients who do not have a family history of breast cancer?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting with the care of a client. Exhibits Which of the following actions should the nurse take to promote the client's respiratory status? Select all that apply.

Correct Answer is ["A","D","E","F"]

Explanation

A nurse is preparing to administer a medication from an ampule. Which of the following is an appropriate action for the nurse to take?

Correct Answer is A

Explanation

A nurse is performing a wound irrigation for a client who has methicillin-resistant Staphylococcus aureus. When removing personal protective equipment, which of the following pieces should the nurse remove first?

A nurse is reinforcing teaching with a client about how to collect a stool specimen. Which of the following instructions should the nurse include?

A nurse in a provider's office is collecting data from an older adult client. The client states that he is having difficulty sleeping. Which of the following strategies should the nurse recommend to promote sleep?

A nurse is reinforcing teaching with a client about using guided imagery to manage chronic pain. Which of the following statements by the client Indicates an understanding of this technique?

A nurse is reviewing the laboratory results for a client who reports vomiting and diarrhea for 2 days. Which of the following laboratory findings should the nurse expect?

A nurse is reinforcing teaching with a client who is perimenopausal. Which of the following statements by the client indicates an understanding of the teaching?

A nurse is observing an assistive personnel (AP) provide postmortem care for a client prior to visitation by their loved ones. Which of the following actions by the AP requires intervention by the nurse?