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

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."

Answer and Explanation

The Correct Answer is A

Rationale:

A. Regular clinical breast examinations by a healthcare provider are recommended for all women, typically starting at age 30, regardless of family history, as part of early detection efforts for breast cancer.

B. While mammograms are important for breast cancer screening, the age at which they should start may vary based on individual risk factors and guidelines from different organizations.

C. Breast ultrasound may be used in specific cases but is not typically recommended as a routine screening tool for breast cancer in asymptomatic women without specific risk factors.

D. Breast self-examinations are important for women to become familiar with their breasts and detect any changes, but the age at which they should start may vary based on individual risk factors and guidelines.

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Correct Answer is B

Explanation

Rationale:

A. Moving the stronger leg forward before moving the weaker leg is incorrect and may increase the risk of falls.

B. Holding the cane on the stronger side provides support and stability while walking.

C. Moving the cane forward 18 inches is incorrect and may increase the risk of falls.

D. Wearing shoes with smooth soles may decrease traction and increase the risk of falls.

A. Make sure four fingers fit between the restraint and the client's body. B. Apply the belt restraint over the client's gown. C. Check the client's skin integrity every 4 hr. D. Tie the belt restraint to the side rail of the bed.

Correct Answer is B

Explanation

Rationale:

A. Ensuring that four fingers fit between the restraint and the client's body is important to prevent injury and discomfort.

B. Applying the belt restraint over the client's gown may lead to slippage and ineffective restraint.

C. Checking the client's skin integrity every 4 hours is important, but it is not specific to the use of a belt restraint.

D. Tying the belt restraint to the side rail of the bed is not appropriate because it can restrict movement and cause injury.

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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 reinforcing teaching with a client about the use of a quad cane. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is B

Explanation

A nurse is caring for a client who has a new prescription for a belt restraint. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

A nurse at a long-term care facility is caring for an older adult client who has dementia and is at risk for malnutrition. Which of the following actions should the nurse take to promote an increase in food intake?

A nurse is reinforcing teaching with a client about advance directives. Which of the following client statements indicates an understanding of the teaching?

A nurse is inserting an indwelling urinary catheter for a male client. After inserting the catheter 15 cm (6 in), the nurse feels resistance and no urine flows through the catheter. Which of the following actions should the nurse take?

A nurse is assigning a semiprivate room to a client who has herpes zoster. Which of the following roommates is appropriate?

A nurse is collecting data from a client about bowel elimination. Which of the following statements by the client indicates a risk for impaired bowel elimination?

50. A nurse is preparing to set up a sterile field to change a sterile dressing on a client's abdominal wound. Identify the sequence of steps the nurse should take. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps)

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