A nurse is obtaining a history from a 30-year-old female client. Which of the following questions would you ask to assess health promotion act?

"Do you have annual breast examinations?"

"Do you have a history of breast cancer?""

"Do you have breast implants?"

"Have you had any problems with nipple discharge?"

Answer and Explanation

The Correct Answer is A

A.   This is the most relevant question for assessing health promotion related to breast cancer screening. Regular breast examinations are a key part of health promotion for early detection of potential issues such as breast cancer.
B.   While a family history or personal history of breast cancer is important, it doesn't directly assess ongoing health promotion behavior like regular screenings.
C.   This question is more focused on potential concerns regarding the breast tissue itself, but it doesn’t assess health promotion activity like breast examinations.
D.   This question is focused on symptoms, not health promotion behavior such as prevention and early detection.

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Correct Answer is ["C","D"]

Explanation

A. As the patient says a long "ee-ee-ee" sound, the examiner hears a long "aaaaaa" sound. - This indicates a possible consolidation in the lungs, which is abnormal.
B. When the patient speaks in a normal voice, the examiner can hear a sound but cannot exactly distinguish what is being said. - This suggests abnormal voice transmission and could indicate lung consolidation or other issues.
C. As the patient says a long "ee-ee-ee" sound, the examiner also hears a long "ee-ee-ee" sound. - This is normal, indicating clear and symmetrical transmission of voice sounds.
D. As the patient repeatedly says "ninety-nine," the examiner clearly hears the words "ninety-nine." - This is also normal, as it indicates normal transmission of sound and no lung consolidation.
E. Voice sounds are faint, muffled, and almost inaudible when the patient whispers "one, two, three" in a very soft voice. - This is normal for whispered voice sounds and is not a sign of abnormal lung findings.

A. Palpates the abdomen prior to performing auscultation B. Performs auscultation between meals C. Auscultates bowel sounds for 3 to 5 min D. Clamps the NG tube during auscultation

Correct Answer is A

Explanation

A. Palpation should be done after auscultation to avoid altering the bowel sounds. Palpation can cause changes in the sounds, making it difficult to assess accurately.
B. It is advisable to auscultate bowel sounds when the patient is not actively eating, so this action is appropriate.
C. This is the correct duration for assessing bowel sounds. Auscultating for 3-5 minutes is within the standard practice.
D. If the client has an NG tube, clamping it before auscultation is appropriate as it prevents additional noises or interference from the tube.

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A nurse is obtaining a history from a 30-year-old female client. Which of the following questions would you ask to assess health promotion act?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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