client tells a nurse that she tested positive for a mutant BRCA-1 gene. The nurse should recognize that this finding increases the client's risk for which of the following conditions?
Ovarian cancer
Breast cancer
Alzheimer's disease
Kidney disease
The Correct Answer is B
a. Ovarian cancer: While BRCA mutations are associated with an increased risk of ovarian cancer, the primary association is with breast cancer.
b. Breast cancer: Mutations in the BRCA-1 gene significantly increase the risk of developing breast cancer, especially at a younger age.
c. Alzheimer's disease: The BRCA-1 gene mutation is not associated with an increased risk of Alzheimer's disease.
d. Kidney disease: The BRCA-1 gene mutation is not associated with an increased risk of kidney disease.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Request an order for an antiemetic - Checking vital signs is the priority before administering any medication. Antiemetics may be considered later, but the nurse needs to assess the client's overall condition first.
B. Request a dietary consult - Assessing vital signs comes before consulting for dietary issues.
The priority is to determine the client's immediate physiological status.
C. Check the client’s vital signs - This is the correct first action as it helps to evaluate the client's cardiovascular status, especially considering the potential toxicity of digoxin in the setting of
nausea and refusal of breakfast.
D. Suggest that the client rests before eating the meal - While rest may be beneficial, assessing vital signs takes precedence to rule out any acute cardiovascular compromise.
Correct Answer is C
Explanation
a. Apply a warm cloth over the client's eyes: This intervention is not typically indicated for a client who had a craniotomy. It is important to monitor for signs of increased intracranial pressure, but a warm cloth over the eyes is not a standard intervention.
b. Place the client in a supine position: The position of the client after a craniotomy will depend on the surgeon's preference. It is important to follow specific postoperative positioning
instructions, which may or may not include supine positioning.
c. Maintain seizure precautions: Seizure precautions are crucial for clients who have had a craniotomy, as they are at an increased risk of seizures postoperatively.
d. Obtain a prescription for an opioid medication for pain: Pain management is important, but opioid medications may be carefully titrated due to the potential for respiratory depression and other side effects. It is not the primary intervention in the immediate postoperative period.
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