The nurse is performing a health screening of a 37-year-old female client. Which factor(s) would alert the nurse that this client is at greatest risk for developing a stroke?

A career as a corporate attorney who exercises three times per week

An uncomplicated vaginal birth 12 years ago

Drinking a glass of red wine with dinner and taking Yoga classes on Saturdays

Taking birth control pills and a 15-year pack per day smoking habit

Answer and Explanation

The Correct Answer is D

A.   This choice suggests a high-stress job but includes a positive aspect—regular exercise. Regular physical activity is protective against stroke, and being active can help mitigate some risk factors. Therefore, this scenario does not indicate a high risk for stroke.
B.   This choice does not present a significant risk factor for stroke. An uncomplicated vaginal birth is typically not associated with an increased risk of stroke. Factors like recent pregnancy could increase risk due to changes in blood coagulation, but 12 years post-birth is not relevant.
C.   Moderate alcohol consumption, such as a glass of red wine, may have some cardiovascular benefits when done in moderation, and practicing yoga can be beneficial for stress reduction and overall health. Therefore, this option does not suggest a high risk for stroke.
D.   Both smoking and the use of birth control pills significantly increase the risk of stroke, particularly in women. Smoking is a well-known risk factor for cardiovascular disease and can lead to thrombosis (blood clots).

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Correct Answer is A

Explanation

A. One of the most common and concerning symptoms of uterine (endometrial) cancer is abnormal vaginal bleeding, particularly postmenopausal bleeding. Any bleeding after menopause is considered abnormal and can be an indicator of uterine cancer, warranting further investigation.
B. While a malodorous vaginal discharge can occur due to infections or other gynecological issues, it is not a primary symptom of uterine cancer. Uterine cancer more commonly presents with bleeding rather than discharge.
C. While some women with advanced uterine cancer may experience pelvic pain or pain during intercourse (dyspareunia), this symptom is not as characteristic or early in the disease process. It is more associated with conditions like endometriosis or pelvic inflammatory disease.
D. This is not a typical manifestation of uterine cancer. While vulvar swelling may be seen in cases of vulvar cancer or infections, it is not a common symptom associated with uterine cancer specifically. Symptoms related to uterine cancer primarily focus on abnormal bleeding.

A. be careful with the straight razor." B. insist the nurse use multiple razor blades." C. bring in an electric razor for nurse to use for shaving." D. bring in disposable razors blades to use for, shaving."

Correct Answer is C

Explanation

A. This response shows some awareness but does not indicate a sufficient understanding of the risks. Straight razors can pose a significant risk of cuts and bleeding, especially in a patient who has received t- PA, which can increase the likelihood of bleeding.
B. This response suggests a misunderstanding. Using multiple razor blades does not inherently reduce the risk of bleeding and could increase the chance of cuts or nicks. This response does not indicate an appropriate understanding of safety precautions related to t-PA.
C. This response indicates an understanding of safety precautions. Electric razors are safer for clients who are at risk of bleeding because they do not have sharp blades that can easily cause cuts. This choice minimizes the risk of injury while allowing for personal grooming.
D. While disposable razors may seem convenient, they still carry a risk of cuts and bleeding. This response does not reflect a full understanding of the precautions necessary for a client who has received t-PA, as it does not prioritize safety in the same way that using an electric razor does.

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Blood Cell	Normal Ranges
Red blood cells (mature, circulating)	Male: 451-6.01 million/mm3 Female: 4.01-5.51 million/mm3
Hemoglobin	Adult (15-64 yr) Male 14-17.3 g/dL Female 11.7-155 g/dL
Hematocrit	42%-52% in males 36% -48% in females
Reticulocytes	0.5% -2.5% of total RBC count
White blood cells (total)	4.5-11.1 10/mm3
Neutrophils	59% Bands 3% Segs-56%
Eosinophils	2.7%
Basophils	0.5%
Lymphocytes	34%
Monocytes	4%


Platelets	150,000-450,000/mm3

The nurse is performing a health screening of a 37-year-old female client. Which factor(s) would alert the nurse that this client is at greatest risk for developing a stroke?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a 58-year-old client who is diagnosed with uterine cancer. Which of the following manifestations is likely to be reported by this client?

Correct Answer is A

Explanation

Correct Answer is C

Explanation

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