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 performing monthly breast self-examinations at age 35."
"You should receive a breast examination from your provider each year after age 30."
"You should receive a breast ultrasound every 3 years after age 50."
"You should start receiving mammograms as early as age 40."
The Correct Answer is D
A. Monthly breast self-examinations are valuable, but the recommended starting age is typically earlier, around age 20, regardless of family history.
B. While regular breast examinations by a healthcare provider are important, they may not be sufficient as the primary screening method for breast cancer.
C. Breast ultrasound may be used as a supplementary screening tool but is not typically recommended as the primary screening method.
D. Mammograms are the primary screening method for breast cancer, and for women without a family history, they are typically recommended to start at age 40, although guidelines may vary slightly.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. While a respiratory therapist may be involved in the care of a client with dysphagia, their primary focus is on respiratory function rather than swallowing difficulties.
B. A speech-language pathologist specializes in the assessment and treatment of swallowing disorders (dysphagia) and would be the most appropriate interprofessional team member to address this client's needs.
C. A registered dietitian may be involved in the client's care to provide guidance on appropriate nutrition and dietary modifications, but they do not typically specialize in the assessment and
treatment of dysphagia.
D. An occupational therapist may be involved in the client's care for other aspects of
rehabilitation, such as activities of daily living and upper extremity function, but they do not typically specialize in the assessment and treatment of dysphagia.
Correct Answer is A
Explanation
A. Applying restraints over clothing helps to prevent direct skin contact, which can reduce the risk of skin irritation, abrasions, and pressure sores that might occur from prolonged contact with the restraint material. It also serves as a layer of padding, offering additional comfort for the patient. Moreover, clothing can act as a barrier against potential constriction of blood flow or nerve compression.
B. Two fingers should fit between the restraint and the client's body and not four fingers. This helps prevent excessive tightness, which can lead to restricted circulation and skin breakdown. This action promotes client safety and comfort.
C. Checking the client's skin integrity should be done done more frequently than the four hours to assess for any skin damage or irritation.
D. Tying the belt restraint to the side rail of the bed may pose a safety risk, as it could restrict the client's movement and lead to injury or discomfort. The belt restraint should be anchored to an immobile part of the bed.
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