The nurse is caring for a 22-year-old woman who has come in for a routine examination. The patient asks about how often she should perform breast self-examinations and get a mammogram. The nurse should inform the patient of which of the following?
a. Monthly breast self-examinations are optional for women in their twenties and thirties.
b. Women less than 40 need a clinical breast exam by a health care provider yearly.
c. Asymptomatic women need mammograms yearly until age 40.
d. Women greater than age 40 need mammograms every 6 months.
A
Monthly BSE is an option for women in their twenties and thirties. Women 20 years of age and older need to report any breast changes to a health care provider immediately. Women need a clinical breast examination by a health care provider every 3 years from age 20 to 40, and yearly for women greater than age 40 . Women with a family history of breast cancer need a yearly examination by a health care provider. Asymptomatic women need a screening mammogram by age 40; women age 40 and older need an annual mammogram. For women with an increased risk, the ACS recommends discussion of screening options and additional testing with a health care provider.
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In assessing the client who has had a prostatectomy and implantation of an artificial urinary sphincter, a nurse finds the client's left testis to have an irregularly shaped enlargement. What is the nurse's best action?
A. Elevate the scrotum and apply ice to the left testis. B. Document the finding as the only action. C. Compare the left testis to the right testis. D. Notify the physician.
When a male patient is receiving androgen therapy, the nurse will monitor for signs of excessive androgens such as:
a. fluid retention. b. dehydration. c. restlessness. d. visual changes.
A client with cancer is experiencing difficulty swallowing. When teaching the client to make the process a conscious action, which of the following would the nurse instruct the client to do first?
1. Exhale 2. Inhale 3. Tilt head to the side 4. Swallow
Integrating a cholinergic drug into the existing treatment plan of a patient already taking a ganglionic blocking drug could result in a drug interaction characterized by:
A. additive vasodilating effect to produce hypotension and cardiovascular collapse. B. additive anticholinergic effect of ganglionic blockade on the gastrointestinal and urinary tracts. C. additive antiadrenergic effect that leads to hypotension and cardiovascular collapse. D. antagonism of anticholinergic effect of ganglionic blockade on the gastrointestinal and urinary tracts.