The 85-year-old client says she does not perform breast self-exam because there is no history of breast cancer in her family. What is the nurse's best response?

A. "You are correct. Breast cancer is an inherited type of malignancy and your fam-ily history indicates a low risk for you to develop it."
B. "Breast cancer can be found more frequently in families; however, the risk for general, nonfamilial breast cancer increases with age."
C. "Because your breasts are no longer as dense as they were when you were younger, your risk for breast cancer is now decreased."
D. "Examining your breasts once per year when you have your mammogram is suf-ficient screening for someone with your history."


B
The risks for all types of sporadic (noninherited, nonfamilial) cancers increase with age. An 85-year-old woman is two to three times more likely to have breast cancer than is a 30-year-old woman.

Nursing

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A 75-year-old client with a long history of depression is currently on doxepin (Sinequan), 100 mg daily. The client takes a daily diuretic for hypertension and is recovering from the flu

Which nursing diagnosis should the nurse assign highest priority? A. Risk for ineffective thermoregulation R/T anhidrosis B. Risk for constipation R/T excessive fluid loss C. Risk for injury R/T orthostatic hypotension D. Risk for infection R/T suppressed white blood cell count

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