The history finding in a client with elevated carcinoembryonic antigen (CEA) that suggests to the nurse that this result might not be related to colorectal cancer is a
a. high-fiber diet.
b. history of heavy smoking.
c. regular exercise program.
d. sedentary lifestyle.
B
High CEA levels are characteristic of nonmalignant conditions such as cirrhosis, liver disease, alcoholic pancreatitis, heavy smoking, and inflammatory bowel disease.
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When seeking advice involving the patient's right to refuse medication, the nurse should most appropriately consult:
a. a minister or priest. b. the hospital ethics committee. c. the nursing supervisor. d. a more experienced nurse.
In working with clients with personality disorders, the staff suddenly seem to be fighting with each other. Which of the following is the MOST likely explanation?
a. Staff are tired and need a rest. b. Staff are stressed and need to work on techniques to reduce stress. c. Clients are manipulating staff and pitting staff against each other. d. The rules on the unit are not clear, so the staff need to work on the rules.
The clinic nurse is discussing nutrition with a pregnant client who has lactose intolerance. The nurse would instruct the client to supplement the dietary source of calcium by eating which of the following foods?
1. Dried fruits 2. Creamed spinach 3. Hard cheese 4. Fresh squeezed orange juice
A client's genetic testing reveals a change in CYP2A6. The nurse would plan which interventions based on this discovery? Select all that apply.
A. Teaching the client to avoid caffeine-containing drugs. B. Planning additional time and interventions to help the client stop smoking. C. Use of an alternative to the drug warfarin. D. Increased surveillance for the development of lung cancer. E. Frequent monitoring of blood pressure.