A 40-year-old man who has a mother who was diagnosed with breast cancer at age 45, a father who was diagnosed with smoking-related lung cancer at age 55, a 33-year-old sister with breast cancer, and a 38-year-old sister with ovarian cancer, asks if
he should be con-cerned for his cancer risk. What is the nurse's best response? A. "Your risk is not affected by this family history, because most of the cancers arose in female sex-associated tissues."
B. "You have two first-degree relatives and two second-degree relatives with cancer, which increases your general risk for cancer."
C. "Your risk for breast cancer is increased; however, your risk for lung cancer is not affected by this history."
D. "Your risk for cancer is affected by your parents' cancer development; your sis-ters' cancers have no bearing on your risk."
C
This man has four first-degree relatives with cancer, three of whom have cancers that are asso-ciated with a genetic risk. The fact that the sisters and mother were diagnosed at relatively young ages increases the likelihood of a genetic predisposition. The genetic association with these can-cers also increases the risk for male members of the family. Lung cancer has not been found to have a genetic association.
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Which patient is at the greatest risk for a CVA?
a. A 20-year-old obese Latin woman who is taking birth control pills b. A 40-year-old athletic white man with a family history of CVA c. A 60-year-old Asian woman who smokes occasionally d. A 65-year-old African American man with hypertension
In planning the nursing care of a client with anorexia nervosa, which nursing goal is the highest priority in the initial phase of treatment?
A) Regain lost weight. B) Restore electrolyte imbalances. C) Support healthy coping mechanisms. D) Improve self-esteem and body image.
The nurse is caring for a patient who recently suffered a cerebrovascular accident (CVA). The family asks the nurse why their father had a seizure. What is the best response by the nurse?
a. "The seizure was most likely caused by brain cells being deprived of oxygen due to a blood clot in the brain." b. "The stroke generated a toxin that excites the brain cells." c. "The stroke causes an alteration in the cells adjacent to the blood clot." d. "The stroke causes an increase in the de-polarization of the brain cells due to the clot formation."
Sources of environmental health problems posed by work risks include all of the following except
1. Job stress. 2. Machine operating hazards. 3. Presence of carcinogenic particulate inhalants. 4. Repetitive motion injuries. 5. Sexual harassment.