During a health assessment the nurse becomes concerned that a patient is at high risk for pancreatic cancer. What assessment findings caused this concern?
Select all that apply.
1. The patient smokes cigarettes.
2. The patient has a body mass index of 32.5.
3. The patient has been treated for osteoarthritis.
4. The patient's uncle died from pancreatic cancer.
5. The patient has been diagnosed with chronic pancreatitis.
Correct Answer: 1, 2, 4, 5
Identified risk factors for pancreatic cancer include cigarette smoking, obesity, a genetic predisposition, and chronic pancreatitis. Osteoarthritis is not a risk factor for pancreatic cancer.
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The purpose of the ovum's zona pellucida is to:
a. make a pathway for more than one sperm to reach the ovum. b. allow the 46 chromosomes from each gamete to merge. c. prevent multiple sperm from fertilizing the ovum. d. stimulate the ovum to begin mitotic cell division.
A patient is diagnosed with a lacunar stroke. The patient's daughter says, "If this is a stroke in a small artery, why is my dad's movement so affected?" Which nursing response is indicated?
1. "Lacunar strokes occur in large arteries, not small ones.". 2. "Lacunar strokes look small on the scans, but they often happen in areas where lots of motor and sensory tracts are located.". 3. "Most of the time with lacunar strokes, we see more sensory effects than those your dad has experienced.". 4. "Lacunar strokes occur in small arteries, but the damage seen on scans is massive.".
The nurse provides discharge teaching for a patient who has two fractured ribs from an automobile accident. Which statement, if made by the patient, would indicate that teaching has been effective?
a. "I am going to buy a rib binder to wear during the day." b. "I can take shallow breaths to prevent my chest from hurting." c. "I should plan on taking the pain pills only at bedtime so I can sleep." d. "I will use the incentive spirometer every hour or two during the day."
At a meeting for family members of alcoholics, a spouse says, "I did everything I could to help. I even requested sick leave when my partner was too drunk to go to work." The nurse assesses these comments as:
a. codependence. b. assertiveness. c. role reversal. d. homeostasis.