Which assessment findings would the nurse interpret as suggesting a predisposition for inherited forms of cancer?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. A client was diagnosed with ovarian cancer at the age of 27.
2. A client has malignant masses in both breasts.
3. A client with colon cancer reports that his father and grandfather also had the disease.
4. A client diagnosed with lung cancer reports never smoking cigarettes.
5. A client diagnosed with laryngeal cancer reports that she is a member of an alcoholics' support group.
1,2,3
Rationale 1: Early age of onset (younger than age 50) suggests that the client has a genetic predisposition to cancer.
Rationale 2: Bilateral disease suggests genetic predisposition.
Rationale 3: The occurrence of cancers across generations suggests a genetic predisposition.
Rationale 4: While tobacco use is a leading cause of lung cancer, it is also caused by other factors.
Rationale 5: Alcohol use is a risk factor for developing laryngeal cancer, so there is no particular reason to suspect a genetic predisposition.
You might also like to view...
A patient is admitted to the critical care unit with acute respiratory failure secondary to COPD. The patient has a 15-year history of emphysema and bronchitis. On inspection, the nurse observes that the patient is experiencing air trapping
While auscultating the chest, the nurse notes the presence of coarse, rumbling, low-pitched sounds in the right middle and lower lobes. On percussion of the lung fields, a patient with emphysema will predictably exhibit which tone? a. Resonance c. Tympany b. Hyperresonance d. Dullness
A client is prescribed secobarbital. The nurse understands that the client is at increased risk of respiratory depression. The nurse plans to assess the client's respiratory status at which time? Select all that apply
A) 5 to 10 minutes after drug administration B) 10 to 15 minutes after drug administration C) 30 to 60 minutes after drug administration D) Before drug administration E) 60 to 90 minutes after drug administration
A nurse utilizes the SPICES tool (Sleep disorders, Problems with eating, Incontinence, Confu-sion, Evidence of falls, and Skin breakdown) to assess an older female patient in the hospital
The nurse notes that the patient has new onset urinary incontinence. The first action by the nurse is to: a. conduct a more in-depth focused assess-ment of the urinary incontinence. b. call the provider and obtain an order for an antibiotic for a suspected urinary tract infection. c. send a urine specimen for culture and sen-sitivity. d. develop a plan of care with the patient to control episodes of incontinence.
The nurse knows that then hospitalized adolescents underrate their pain and hide it, the adolescent is most likely denying pain to:
a. show strength or get out of the hospital earlier b. get the nursing staff in trouble with the doctor c. keep from getting cut off from phoning friends d. avoid having to take pain medication of any type