A female client states the she has a strong family history of ovarian cancer. The nurse recommends screening for this disease by obtaining a(n): Select all that apply
1. Transvaginal ultrasound.
2. Serum-CA-125 level.
3. Record of menstrual cycles.
4. Abdominal x-ray.
5. CT scan.
1. Transvaginal ultrasound.
2. Serum-CA-125 level.
Rationale: Transvaginal ultrasound. Transvaginal ultrasound is a recommended practice for females with strong family histories of ovarian cancer, according to the American Cancer Society. Serum-CA-125 level. Obtaining serum CA-125 levels is a recommended practice for females with strong family histories of ovarian cancer, according to the American Cancer Society. Record of menstrual cycles. Obtaining records of menstrual cycles is not a recommended screening practice for ovarian cancer. Abdominal x-ray. Abdominal x-rays are not a recommended screening practice for ovarian cancer. CT scan. CT scans are not a recommended screening practice for ovarian cancer.
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The health care provider discusses the need for surgery with an elder and her family. Which information about the elder's culture is important for the nurse to collect before this discussion to facilitate the process of informed consent?
a. Attitudes about caregiving b. Process of decision making c. Rituals for death and dying d. Experience with discomfort
The nurse transcribing orders should clarify the order of:
1. potassium chloride, 80 mEq in 1000 mL D5W in 24 hours. 2. potassium chloride, 40 mEq IV in 10 mL D5W IV push. 3. potassium chloride, 50 mEq in 500 mL D5W in 4 hours. 4. potassium chloride, 80 mEq in 1000 mL D5W in 12 hours.
The nurse explains that although uncomfortable, mild anxiety under normal circumstances usually
a. interferes with problem solving. b. is short-lived. c. is repressed and forgotten. d. spirals into panic.
A patient without health insurance comes into the emergency department limping and dripping blood from a head wound. Which of the following should be done first with this patient?
1. Determine triage level and examine and treat as needed. 2. Have the patient sign in and provide method of payment for services. 3. Tell the patient that he will have to go to the emergency room at a hospital that treats people who do not have health insurance. 4. Tell the patient that there are no orthopedic doctors available to help him and tell him that the hospital in the next town will be better able to help him.