The nurse is instructing an older female patient on reproductive cancer screenings. Which information would the nurse include in this teaching?
1. Eliminate Pap smears if high risk factors are absent.
2. Obtain mammography every other year after the age of 40.
3. Avoid hormone replacement therapy for vasomotor symptoms.
4. Eliminate self-examination of the breasts if the patient finds this socially unacceptable.
1
Rationale: Current recommendations are that women who are over age 65, who have had a regular history of normal Pap smears, and who are not at high risk because of other factors should not receive routine Pap smears.
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A 6-year-old boy has been brought to the emergency department by ambulance after his mother discovered that his heart rate was "so fast I couldn't even count it."
The child was determined to be in atrial flutter, and his mother is seeking an explanation from the health care team. Which of the following points should underlie an explanation to the mother? A) The child is experiencing a reentry rhythm in his right atrium. B) The resolution of the problem is dependent on spontaneous recovery and is resistant to pacing interventions. C) The child is likely to have a normal ECG apart from the rapid heart rate. D) The boy's atria are experiencing abnormal sympathetic stimulation.
Older people have many altered reactions to disease that are considered age-related changes. When the nurse observes physical indicators of illness in the older population, that nurse must remember what?
A) Potential life-threatening problems in the older adult population are not as serious as they are in a middle-aged population. B) Indicators that are useful and reliable in younger populations cannot be relied on as indications of potential life-threatening problems in older adults. C) The same physiologic processes that indicate serious health care problems in a younger population indicate mild disease states in the elderly. D) Middle-aged people do not react to disease states the same as a younger population does.
A patient has 2+ pitting edema of the lower extremities bilaterally. Auscultation of the lungs reveals crackles bilaterally, and the serum potassium level is 6 mEq/L. Which diuretic agent or-dered by the prescriber should the nurse question?
a. Bumetanide [Bumex] b. Furosemide [Lasix] c. Spironolactone [Aldactone] d. Hydrochlorothiazide [HydroDIURIL]
The nurse is preparing for morning rounds. Which of the following may not be delegated to the nursing assistant?
A) Fill water pitchers. B) Vital signs C) Ambulate surgical clients. D) Skull and face assessment