At the completion of a dietary history the nurse is concerned that a patient is at risk for developing cancer. Which food habit does the patient have that causes the nurse to have this concern?

Select all that apply.

1. eats red meat 5 times a week
2. drinks 6 cups of coffee every day
3. has a salad every evening with dinner
4. prefers fried fish and chicken over baked
5. orders a deli sandwich for lunch every day


Correct Answer: 1, 2, 4, 5
A diet that is high in red meat and saturated fat appears to increase the risk for cancer. Both regular and decaffeinated coffee are believed to increase cancer risk. Repeatedly using fat to fry foods at high temperatures produces high levels of polycyclic hydrocarbons, which increase cancer risk considerably. Some foods are considered genotoxic, such as the nitrosamines and nitrous indoles found in preserved meats and pickled, salted foods. Vegetables, fruits, fiber, folate, and calcium may be protective against cancer.

Nursing

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During an interview the patient states, "I can feel this bump on the top of both of my shoulders—it doesn't hurt but I am curious about what it might be." The nurse should tell the patient that it is his:

a. Subacromial bursa. b. Acromion process. c. Glenohumeral joint. d. Greater tubercle of the humerus.

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The nurse is reviewing the characteristics of homeostatic mechanisms prior to assessing a client. Which characteristics should the nurse keep in mind during this assessment?

1. They are self-regulating. 2. They are compensatory. 3. They are regulated by negative feedback systems. 4. They can require several feedback mechanisms to correct only one physiologic imbalance. 5. They are related to a closed system.

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Home care nursing is a fast-growing sector of the healthcare system. Which of the following factors have contributed to the growth of home health care?

1. The need for custodial care. 2. Third-party payers who support cost-control measures. 3. The increase in the older adult population. 4. The decreasing need for acute care. 5. A decrease in hospital-based services.

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What is the maternity nurse's best defense against an accusation of malpractice or negligence?

1. Follows the physician's written orders 2. Acts on the advice of the nurse manager 3. Becomes certified as a nurse–midwife or nurse practitioner 4. Meets the Association of Women's Health, Obstetric and Neonatal Nurses (AWHONN) standards of practice

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