During a routine physical examination, a 22-year-old client reports she has recently had two relatives diagnosed with breast cancer. She questions which of her personal behaviors place her at risk for the development of the disease

Which of the following reported factors can be implicated in the increased risk for breast cancer? 1. Onset of menarche at age 11
2. Breast-fed her two children for 6 months
3. Hispanic heritage
4. Use of the female condom


Onset of menarche at age 11

Rationale: The risk of breast cancer is increased with menarche onset before age 12. Breast-feeding children is associated with a lowered risk for the development of breast cancer. Individuals having a Jewish heritage have an increased risk for the development of breast cancer; there is no information supporting the disease being increased in the Hispanic population. Breast cancer risk may be increased with the use of hormonal agents in contraceptives such as the pill. The female condom does not have hormonal ingredients and does not impact breast cancer risk.

Nursing

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After teaching a client who is newly diagnosed with type 2 diabetes mellitus, the nurse assesses the client's understanding. Which statement made by the client indicates a need for additional teaching?

a. "I should increase my intake of vegetables with higher amounts of dietary fiber." b. "My intake of saturated fats should be no more than 10% of my total calorie intake." c. "I should decrease my intake of protein and eliminate carbohydrates from my diet." d. "My intake of water is not restricted by my treatment plan or medication regimen."

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The nurse is performing an assessment of the female client's genitalia. The nurse has inserted a speculum and notices that the client has a frothy greenish-yellowish discharge present within the vagina

Based on this data, which condition does the nurse suspect? 1. Trichomoniasis. 2. Gonorrhea. 3. Chlamydia. 4. Candidiasis.

Nursing

Conditions that produce acute kidney injury by directly acting on functioning kidney tissue are classified as intrarenal. The most common intrarenal condition is:

a. prolonged ischemia. b. exposure to nephrotoxic substances. c. acute tubular necrosis (ATN). d. hypotension for several hours.

Nursing

A burn patient is being discharged home after having skin grafts. The nurse is providing home care instructions. What would be most important for the patient to remember?

A) Use cosmetic camouflage techniques. B) Protect the graft from direct sunlight. C) Continue physical therapy. D) Apply lubricating lotion to the graft site.

Nursing