A nurse is reinforcing teaching with a group of adult clients about health promotion and maintenance. The nurse should remind the clients that which of the following screenings should be performed beginning at age 50?
Testicular examination
Colonoscopy
Clinical breast examination
Fasting blood glucose
The Correct Answer is B
A. Testicular examination: Testicular cancer screening is typically encouraged from adolescence to around age 35, as it is more common in younger men. Routine testicular exams are not specifically recommended starting at age 50.
B. Colonoscopy: Colorectal cancer screening, such as colonoscopy, should begin at age 45 or 50 for individuals at average risk. It is a key preventive measure for detecting colorectal cancer in its early stages.
C. Clinical breast examination: Clinical breast exams may be done earlier, typically starting in the 20s or 30s, depending on risk factors. They are not newly initiated at age 50.
D. Fasting blood glucose: Screening for diabetes may begin as early as age 35 in adults with risk factors. It is important but not specifically recommended as a new screening starting at age 50.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Decrease background noise: Reducing ambient noise helps clients with hearing loss focus better on the speaker’s voice, minimizing distractions and enhancing their ability to interpret sounds or speech through residual hearing or lip-reading.
B. Speak in a loud voice: Speaking loudly can distort speech sounds and facial expressions, making it harder for clients to understand. It’s more effective to speak clearly at a moderate pace and volume.
C. Use short phrases: While shorter phrases might seem easier to process, effective communication often depends on clear context and full sentences. Using natural language helps convey meaning more accurately.
D. Talk at a rapid rate: Rapid speech can be difficult for individuals with hearing loss to follow, especially if they rely on lip-reading. Slower, clearer speech improves understanding and facilitates better communication.
Correct Answer is A
Explanation
A. Oriented to person only indicates the client is confused about time, place, or situation, which increases the risk of injury due to impaired judgment and decreased awareness of surroundings. This cognitive impairment can lead to unsafe behaviors like attempting to get out of bed unassisted or wandering.
B. Hearing acuity intact helps the client receive verbal instructions and alarms, reducing injury risk by facilitating communication and timely responses to safety cues. Good hearing supports situational awareness, which is protective against accidents.
C. Ability to use call light allows the client to summon assistance when needed, helping prevent falls or other injuries. This functional independence in communication is a key safety factor in the acute care setting.
D. Full range of motion in bilateral lower extremities indicates good physical mobility and strength, which decreases injury risk by enabling the client to reposition safely and maintain balance during transfers or ambulation.
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