While completing an admission assessment, the client reports a family history of ovarian cancer among a maternal grandmother, aunt, and sister. The nurse knows that these cancers are most likely associated with what etiology?
A) Inherited gene mutation
B) Smoking and tobacco use
C) Exposure to chemicals and spermicides
D) Increased tumor suppressor genes
A
Feedback:
Tumor suppressor genes assist the body in normal cell production and death. Tobacco use and chemical carcinogens can contribute to the development of cancer, but there is not enough information provided to suggest a common link. Oncogenes are genes that have mutated and activates out of control cell growth. Inherited gene mutation occurs when the DNA is passed to the next generation.
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A client plans to use oral contraceptives for birth control. Which client behavior would cause the nurse the most concern?
A) The client has several sexual partners. B) The client is being treated for bipolar disorder. C) The client smokes one-half pack of cigarettes a day. D) The client drinks two glasses of wine a day.
Patients who have sustained a severe burn injury and have an impaired intestinal mucosal barrier are at an increased risk for infection
The implementation of which of the following interventions will assist in avoiding increased intestinal permeability and prevent early endotoxin translocation? A) Early enteral feeding B) Administration of prophylactic antibiotics C) Bowel cleansing procedures D) Administration of stool softeners
With revenue reductions and cost-saving measures, the number of managers has been reduced, which has increased the number of team leaders supervised by managers by as many as three. This change may result in:
a. Decreased patient satisfaction. b. Increased efficiency in costs. c. A more positive perception of managers. d. Little change to manager-staff relation-ships.
If on physical examination the clinician auscultates rhonchi, the clinician should ask the patient to take a deep breath and cough in order to:
A. Mobilize secretions B. Diagnose pleural effusion C. Accurately distinguish lung sounds D. A & C