The nurse is concerned that a patient is at increased risk for developing cancer. What did the nurse assess to come to this conclusion?
1. age 51, spouse deceased, downsized from employment, history of back and leg pain
2. age 52, plays tennis twice a week, no alcohol intake, occasionally smokes a cigarette
3. age 45, premenopausal, not planning to use hormone replacement therapy
4. age 50, employed as a computer technician, uses the fitness center five times a week
Correct Answer: 1
The patient who is 51 with a deceased spouse, downsized from employment, and has a history of back and leg pain is experiencing a great deal of stress. Stress resulting from severe and/or cumulative losses is also implicated in promoting cancer. These losses, which are common to older adults, include the death of a spouse or friends, loss of position and status in society, and a decline in physical abilities. These repeated stressors can damage the immune system that may lead to the development of cancer. The other patients have fewer risk factors for the development of cancer.
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While assessing the client, the nurse notes that the client has a moist cough. The nurse would include which of the following questions in the focused interview?
1. "Have you been losing weight?" 2. "How long have you been sick?" 3. "Are you wheezing?" 4. "Are you coughing up any mucus or phlegm?"
A nurse is reviewing a patient's medications prior to administration. Which drug-to-drug interactions should most concern the nurse in a patient with a history of heart failure and a potas-sium level of 5.5 mEq/L?
a. Furosemide (Lasix) and enalapril (Vasotec) b. Amlodipine (Norvasc) and spironolactone (Aldactone) c. Eplerenone (Inspra) and spironolactone (Aldactone) d. Metoprolol (Lopressor) and furosemide (Lasix)
Which of the following client statements made by young adults suggest a risk factor for sleep disturbance problems? (Select all that apply.)
1. "I have a job that requires my attention 110% of the time." 2. "I really enjoy fishing; I wish we lived closer to a river or pond." 3. "My wife just found out she is pregnant for the third time in 5 years." 4. "My father recently suffered a heart attack, and Mom is so very worried about him." 5. "The kids are so active in after-school things that we never have an evening at home." 6. "Gardening always gave me such a sense of accomplishment, but I don't have much free time now."
Stimulating the vagus nerve typically produces:
a. A decrease in the heart rate b. An increase in the heart rate c. An increase in stroke volume d. No change