A 35-year-old client is diagnosed with familial adenomatous polyposis (FAP). He says, "My mom died from colon cancer and I don't want to have the same thing happen to me
" What should the nurse consider in formulating a response to this statement? 1. The client's lifetime risk for colorectal cancer exceeds 75%.
2. Testing to identify if the disease is genetic or environmental will be done before a prognosis is made.
3. Because the client is still young, cancer is likely years in the future.
4. Clients with FAP are treated primarily with chemotherapeutic drugs even if cancer is not noted.
1
Rationale 1: This client has an 80% to 100% lifetime risk of colorectal cancer.
Rationale 2: The client is diagnosed with FAP, which carries a high risk of colorectal cancer. Testing is not necessary to form a prognosis.
Rationale 3: Clients with FAP typically develop colorectal cancer before age 40.
Rationale 4: A leading treatment for FAP is prophylactic colectomy.
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In adults of any age, regular tetanus-diphtheria-toxoid immunization boosters should be obtained at a recommended interval of:
a. 2 years. b. 5 years. c. 10 years. d. 12 years.
Chaotic systems are in a constant state of change. This degree or scope of change that can occur has been described as the butterfly effect. The butterfly effect refers to:
a. a minor change in input can create a major change in output, or a major change in input can result in minor changes in output. b. a major change in input will create a major change in output, and a minor change in input will create minor changes in output. c. a minor change in input can create a minor change in output; however, a major change in input will result in minor changes in output. d. a minor change in input may create a major change in output; however, a major change in input will create a major change in output.
The nurse is orienting a new graduate nurse to the labor and birth unit. Which statement indicates that teaching has been effective?
1. "When a client arrives in labor, a urine specimen is obtained by catheter to check for protein and ketones." 2. "When a client arrives in labor, she will be positioned supine to facilitate a normal blood pressure." 3. "When a client arrives in labor, her prenatal record is reviewed for indications of domestic abuse." 4. "When a client arrives in labor, a vaginal exam is performed unless birth appears to be imminent."
Which of the following statements best describes the term crowd then used to describe peer relationships?
a. an association of two to four cliques with relations less intimate than in the cliques b. a large number of peers who gather periodically to socialize c. the number of people that then exceeded makes socialization uncomfortable d. five or more people who are engaged in observational and encouraging behaviors