You are obtaining histories and physicals on several clients in the outpatient clinic. As an RN, one of your roles is to provide appropriate disease prevention education for clients
Which of the following clients do you assess as most in need of cancer prevention education? 1. A 44-year-old African American woman who is overweight, whose mother had breast cancer at age 50, who smokes 1 to 2 cigarettes per day, and who drinks 3 cups of coffee daily.
2. A 35-year-old Caucasian male who is overweight, has a family history of heart disease, and is a vegetarian.
3. A 65-year-old women who is within normal body weight, exercises five times a week, eats a variety of vegetables and fruits, eats red meat once a month, and does not smoke.
4. A 47-year-old Hispanic female, who has a mother and father with history of type II diabetes and an aunt with breast cancer, is overweight by 30 lbs, walks three times weekly with her mother, eats canned fruits and vegetables, and is a nonsmoker.
A 44-year-old African American woman who is overweight, whose mother had breast cancer at age 50, who smokes 1 to 2 cigarettes per day, and who drinks 3 cups of coffee daily.
Rationale: The client who needs the most education is the one with the most risk factors. The 44-year-old African American smokes cigarettes, which is the most deadly carcinogen, is overweight (approximately 20% of all cancer deaths are attributed to nutrition), and her mother had breast cancer. Therefore, there is a genetic predisposition for the development of breast cancer. The 35-year-old is at greater risk for heart disease than cancer. The 65-year-old has no risk factors other than age. The 47-year-old has two risk factors, the genetic predisposition and being overweight.
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The client who has been taking high-dose corticosteroid therapy for a month to treat a severe inflammatory condition, which has now resolved, asks the nurse why she needs to continue taking the corticosteroids. What is the nurse's best response?
A. "It is possible for the inflammation to recur when corticosteroid therapy is halted." B. "Corticosteroids are a type of hormone. Once you have been started on a re-placement hormone, you must continue the hormone replacement therapy for the rest of your life." C. "The drug suppressed your own adrenal gland secretion of corticosteroids. Slowly decreasing the dose over time allows your adrenal glands to start adequate se-cretion again." D. "The drug suppressed your immune system while you were taking it. Slowly de-creasing the dose over time prevents your immune system from starting up too quickly and initiating allergic reactions."
A student nurse who is preparing to graduate and take the licensure examination asks, "What is compulsory licensure?" The appropriate response of the nursing advisor is which of the following?
a. All candidates wishing to take the licensure examination must pass a drug screen. b. Candidates must not have a felony conviction. c. To practice as an RN, the nurse must be licensed as an RN. d. An impaired nurse must sign a legal document to acknowledge limitations on his or her practice.
Zantac is ordered to be given by the ___________ route every 6h
Fill in the blank(s) with correct word
What is a major recommendation of the Advisory Committee on Interdisciplinary, Community-Based Linkages (ACICBL)? Select all that apply
1. Greater use of e-learning for continuing education 2. Continuing professional development is a term used by physicians. 3. Greater government funding to support CPD is needed. 4. There is adequate funding of faculty training for distance education. 5. NAM core competencies should be included in CPD.