The nurse is assessing a female client's risk of developing breast cancer. Which family history finding would the nurse interpret as most significant?
1. The client's maternal grandmother developed breast cancer at age 80.
2. Breast cancer has not been diagnosed in the family in two generations.
3. The client's brother was diagnosed with breast cancer at age 35.
4. The client had a hysterectomy due to uterine fibroids.
3
Rationale 1: This factor does increase the client's risk but is not the most significant finding.
Rationale 2: This finding indicates a lower risk.
Rationale 3: Development of a disease in the less often affected sex indicates a significant risk.
Rationale 4: There is not a strong risk correlation between breast cancer and uterine fibroids.
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The nurse is caring for a child diagnosed with cystic fibrosis whose body does not produce pancreatic enzymes appropriately which results in what?
A) Secretion of insulin B) Maintenance of serum glucose levels C) Digestion of carbohydrates D) Regulation of glucose metabolism
Which routine nursing assessment is contraindicated for a client admitted with suspected placenta previa?
a. Monitoring fetal heart rate and maternal vital signs b. Observing vaginal bleeding or leakage of amniotic fluid c. Determining frequency, duration, and intensity of contractions d. Determining cervical dilation and effacement
A client, who is at risk for pneumonia, has been ordered influenza vaccine. Which statement from the nurse best explains the rationale for this vaccine?
A) "Getting the flu can complicate pneumonia." B) "Influenza vaccine will prevent typical pneumonias." C) "Influenza is the major cause of death in the United States." D) "Viruses, like influenza, are the most common cause of pneumonia."
The nurse is providing emergency care to patients injured in a house fire. Which patient would the nurse prepare for transfer to a burn center for additional care and treatment?
1. 15-year-old child with 5% total body surface area burns to the left arm 2. 10-year-old child with partial-thickness burns to the face and left hand 3. 30-year-old female with superficial burns to the arms and neck 4. 35-year-old male with partial-thickness burn to a part of his back