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 C
Explanation
A. Applying talc powder around the stoma can prevent the appliance from adhering properly, leading to leakage. It is not recommended for ostomy care.
B. The skin barrier should be cut to fit closely around the stoma, leaving no more than a 1/8 inch gap, not 1/2 inch. A larger opening may cause skin irritation or leakage.
C. Pressing on the skin barrier for about 30 seconds ensures that it adheres properly to the skin, which helps secure the ostomy appliance and prevents leakage.
D. Moisturizing soap is not recommended for cleaning around the stoma, as it can leave a residue that interferes with the appliance's adhesion. Mild soap without moisturizers or just water should be used.
Correct Answer is C
Explanation
A. This technique is used for children, not adults. To straighten the ear canal for adults, the pinna should be pulled upwards and back.
B. Cleansing the outer ear with isopropyl alcohol is not typically necessary before administering otic medication and may cause irritation to the delicate skin of the ear canal.
C. Holding the dropper 1 cm away allows for better control and accuracy when directing the medication droplets into the ear canal. This helps ensure the medication reaches the intended area within the middle ear. Holding the dropper too close could accidentally touch the ear canal or eardrum, causing discomfort or even injury. Maintaining a slight distance helps prevent the dropper tip from contaminating the ear canal with skin flora from the client or the nurse's hand.
D. While some otic medications might recommend staying still for a short time after administration, 10 minutes is an excessive timeframe for most medications.
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