A 60-year-old woman is seen for an annual checkup. Her obstetric history reveals para 6, gravida 6. She reports that she went through menopause at age 45. Her grandmother died at the age of 80 of colon cancer, and her father died of lung cancer
What in her history would be a risk factor for ovarian cancer?
a. Her numerous pregnancies
b. Her age at menopause
c. Her father's history of lung cancer
d. Her grandmother's history of colon cancer
ANS: D
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In a person with an upper motor neuron lesion such as a cerebrovascular accident, which of these physical assessment findings should the nurse expect?
a. Hyperreflexia b. Fasciculations c. Loss of muscle tone and flaccidity d. Atrophy and wasting of the muscles
A community nurse is visiting a new mother and her newborn in their home. The mother is concerned that her baby is not gaining enough weight. To encourage proper weight gain, the mother should be instructed to:
1. Dilute formula with water. 2. Offer 12–32 ounces of formula every 24 hours. 3. Offer formula every 6–8 hours. 4. Provide skim milk exclusively.
A client in labor is to receive lumbar epidural block. When caring for this client, the nurse understands that a major advantage of this type of pain management technique is that it:
A) provides total pain relief throughout the whole labor B) prevents nausea and vomiting during transition phase C) prevents maternal hypotension and dizziness D) allows different degrees of pain blocking for each stage of labor
The nurse is assessing the patient's respirations. Which action by the nurse is most appropriate?
a. Inform the patient that she is counting respirations. b. Do not touch the patient until completed. c. Obtain without the patient knowing. d. Estimate respirations.