While interviewing a 48-year-old patient during her annual physical examination, the nurse learns that she has never had a mammogram. The American Cancer Society recommends annual mammography screening starting at age 40
Before the nurse encourages this patient to begin annual screening, it is important for her to understand the reasons why women avoid testing. These reasons include (select all that apply) a. Reluctance to hear bad news
b. Fear of x-ray exposure
c. Belief that lack of family history makes this test unnecessary
d. Expense of the procedure
e. Having heard that the test is painful
A, B, D, E
Feedback
Correct All of these are reasons for women to avoid having a mammogram done.
Although the test is expensive, it is usually covered by health insurance,
and many communities offer low-cost or free screening to women without
insurance. It is important to acknowledge that some discomfort occurs
with screening. Scheduling the test immediately at the end of a period
makes it less painful. The risk of radiation exposure is minimal to none.
Nurses play a vital role in providing information and reassurance to help
women overcome these fears.
Incorrect Even patients with no family history should have regular screening done.
The nurse should emphasize that a combination of breast self-examination
and mammography needs to be performed at regular intervals. Women
with a family history may need to begin screening at a younger age and
have additional testing such as ultrasound performed.
You might also like to view...
A labor dysfunction due to decreased uterine muscle tone occurs in a patient who is dilated to 5 cm with membranes intact. What action by the physician will the nurse anticipate?
a. Perform an amniotomy. b. Initiate tocolytic drugs. c. Order a sedative for the patient. d. Plan to do an emergency cesarean section.
To evaluate the desired response of methylergonovine (Methergine), the nurse would assess the client's:
a. uterine tone. b. pain level. c. blood pressure. d. last voiding.
A nurse is performing interventions at the individual level of care. Which of the following is the nurse most likely completing? (Select all that apply.)
a. Teaching well-balanced nutrition to a mother with a malnourished child b. Providing a parent age-specific infor-mation for immunizations c. Assessing the community for other cases of malnutrition d. Assessing other families on the same street for similar problems e. Planning a social marketing campaign about seat belt safety
A client recently prescribed an adrenergic drug states to the nurse, "I am so nervous and I cannot sleep." Based on the client's statement, which questions should the nurse ask?Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.
A. "How much coffee do you drink?" B. "Have you recently increased your intake of dairy products?" C. "Do you eat chocolate?" D. "When was the last time you ate pickled foods or aged cheese?" E. "How much wine or other alcoholic beverages do you drink?"