The 25-year-old woman who has a mother with breast cancer asks why yearly mammograms are not recommended for younger women. What is the nurse's best response?
A. "Younger women only need to obtain yearly mammograms if they are sexually active."
B. "Younger breasts are so dense that mammography is not as accurate in detecting abnormalities."
C. "The incidence of breast cancer is so low for younger women that the cost of mammography outweighs its benefits."
D. "The chances of pregnancy are increased in younger women and the fetus should not be exposed to the radiation associated with mammography."
B
In young women's breasts, there is little difference in density between normal glandular tissue and malignant tumors, which makes the mammogram less useful for the discovery and diagnosis of breast masses in younger women.
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A patient in the CCU is experiencing a cramping pain in the buttocks whenever she stands. The nurse also observes that the patient's nails on both hands are thick and her skin dry. The nurse recognizes this condition as which of the following?
A) Deep vein thrombosis B) Abdominal aortic aneurysm C) Peripheral arterial disease D) Thoracic aortic aneurysm
An older adult patient sought care for the treatment of a swollen, painful knee joint. Diagnostic imaging and culturing of synovial fluid resulted in a diagnosis of septic arthritis. The nurse should prioritize which of the following aspects of care?
A) Administration of oral and IV corticosteroids as ordered B) Prevention of falls and pathologic fractures C) Maintenance of adequate serum levels of vitamin D D) Intravenous administration of antibiotics
A manager has proposed to the hospital board that it hires someone to teach management and leadership classes and that head nurses are paid to attend the classes. What is this an example of?
A) Using emotional intelligence B) Transformational leadership C) Building human capital D) Using quantum leadership
A client tells the nurse that he does not seek health care unless it is absolutely necessary. While many factors can affect access to health care in the United States, the most significant barrier is probably the:
a. aging population. c. escalating cost of services. b. nursing shortage. d. regulatory mandates.