A male patient has been diagnosed with breast cancer. The patient says, "How did this happen? I though breast cancer only occurred in women."
The nurse would consider which assessment findings as risk factors for this man's condition? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. The man is 5 ft. 10 inches tall and weighs 245 pounds.
2. The patient has periodic exacerbations of severe hepatitis C.
3. The patient drinks three or four beers each day after work.
4. The patient works as an over-the-road trucker and is away from home for several days each week.
5. The patient had his spleen removed secondary to an automobile accident when he was a teenager.
1,2,3
Rationale 1: Obesity is a risk factor for development of breast cancer in men. This patient should weigh 170 to 180 pounds.
Rationale 2: Liver damage affects the liver's ability to regulate estrogen levels, thereby increasing the risk for gynecomastia and breast cancer.
Rationale 3: Excessive alcohol use (over two drinks each day) increases the risk for breast cancer in men.
Rationale 4: There is no indication that occupation alone is a risk factor for development of breast cancer in men.
Rationale 5: Splenectomy is not a risk factor for development of breast cancer in men.
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While assessing a patient, the nurse notes that the patient's ankle-brachial index (ABI) of the patient's right leg is 0.40 . The nurse is aware that this may indicate what?
A) Venous narrowing B) Arterial narrowing C) Adequate peripheral circulation D) Inadequate coronary output
How should the nurse document a patient's chief complaint of right hip pain for the comprehensive health history?
A) Patient complains of right hip pain. B) Patient states right hip hurts with walking. C) "I have pain in my right hip when I walk." D) "I am here to see a doctor for pain."
A researcher states in an article that a new experimental treatment, trialed in the outpatient setting in a tri-physician practice in northern Oregon, produces better outcomes than the control treatment for patients with COPD. The p-value given is p <.05. What does this mean?
a. There is better than a 95% chance that at the research site mentioned in the article the experimental treatment really DOES produce better outcomes for patients with COPD. b. The probability of error is 95%. c. There is very little chance that the intervention is effective—less than a 5% chance, in fact. d. There is better than a 95% chance that the experimental treatment will produce better outcomes for all COPD patients. e. There is less than a 5% chance that the researcher has reached this conclusion in error.
Which scenario is an example of a tort?
a. The primary nurse does not complete the plan of care for a patient within 24 hours of the patient's admission. b. An advanced practice nurse recommends that a patient who is dangerous to self and others be voluntarily hospitalized. c. A patient's admission status is changed from involuntary to voluntary after the patient's hallucinations subside. d. A nurse gives an as-needed dose of an antipsychotic drug to a patient to prevent violent acting-out because a unit is short staffed.