A nurse is taking the medical history of an elderly patient who has thyroid cancer. What is an especially important question the nurse should ask?
A) Have you ever smoked cigarettes?
B) Did you have acne as a teenager?
C) Have you ever experienced stress?
D) Have you ever used artificial sweeteners?
B
Feedback:
Before the 1950s, acne was sometimes treated with x-rays, which increased the risk of thyroid cancer. A person now in her or his seventies might well have had acne in the 1940s. Cigarette smoking increases the risk of some cancers, but not thyroid cancer. The belief that stress and other "toxic" emotions can depress immune functions and contribute to cancer is an unsupported claim. The fear that many people have that artificial sweeteners cause cancer has not been proven.
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The nurse's friend says, "I've been thinking about going to that health care clinic in the grocery store so someone can look at my daughter's rash. What do you think?" Which response by the nurse is appropriate?
1. "Most of those retail clinics are not very good. I'd go somewhere else." 2. "That would be okay, but you have to pay extra for the convenience." 3. "If the nurse practitioner at the clinic thinks the rash is significant, you will be referred for additional care." 4. "I would use the clinic for myself, but not for my children."
A client is experiencing an extrapyramidal symptom. Which of the following is an EPS?
a. clonic seizure c. akathisia b. peptic ulceration d. hypertension
Which of the following would be better understood by the nurse after using a family map?
a. Recognition of the communicator and leader who speaks for the family b. Description of the genogram or family tree of the family c. Identification of the geographic location of neighborhood resources for the family d. Roles and relationships within the family
When the level of calcium in the blood is low, the parathyroid glands produce parathyroid hormones to release stored calcium from the ________.
Fill in the blank(s) with the appropriate word(s).