A 34-year-old client who is at her annual gynecologic examination is being taught about early screening for breast cancer. The client has a sister and mother with a history of breast cancer
Which action by the client demonstrates good screening techniques for someone with her family history? 1. Routine breast exams to begin after age 35
2. Reporting of any changes in breast tissue to the health provider at the next routine visit
3. Annual screening mammography starting at age 40
4. Clinical breast examination every three years
4. Clinical breast examination every three years
Rationale:
American Cancer Society guidelines for cancer screening include routine breast self-examination starting at age 20; prompt reporting of any change in breast tissue to healthcare provider; clinical breast examination every three years from ages 20 to 39, and yearly thereafter; annual screening mammography starting at age 40, except in women at increased risk, who may have more frequent mammography or other tests such as breast ultrasound exams.
You might also like to view...
The nurse is caring for a patient who may have had an acute myocardial infarction. Part of the evaluation includes analysis of serum cardiac markers or enzymes. What pattern of elevation is most likely to indicate an acute myocardial infarction?
A) CK-MB was elevated immediately and returned to normal in 36 hours. B) Troponin I was elevated immediately and returned to normal in 48 hours. C) Troponin T was elevated immediately and returned to normal in 18 hours. D) Myoglobin was elevated immediately and returned to normal in less than 24 hours.
During preoperative teaching, the patient asks the nurse why she must have nothing by mouth for 8 hours before surgery. Which of the following is the most appropriate response for the patient?
A) "Food and fluid must be restricted for 8 hours before surgery so you are not at risk for aspiration." B) "The restriction of food or fluid will prevent the development of pneumonia related to decreased lung capacity." C) "The presence of food in the stomach interferes with the absorption of anesthetic agents." D) "By withholding food for 8 hours before surgery, you will not develop constipation in the postoperative period."
A client receiving chemotherapy asks the nurse if there is a drug that can prevent or treat oral mucositis. The nurse's best response is:
a. "Currently, all we can do is offer medicated mouth washes." b. "Yes, but the health care providers usually don't prescribe it." c. "Why do you want to know this information?" d. "Yes, palifermin was developed for this purpose."
The nurse gives diligent catheter care to the clients in a nursing home because the nurse is aware that bacteria can migrate into the bladder in
a. 5 hours. b. 10 hours. c. 24 hours. d. 72 hours.