What cancer screening or prevention activity is most important to include when examining the client, a 20-year-old man who has Down syndrome?
A. Encouraging him to eat more fruit and leafy green vegetables
B. Teaching him how to perform self testicular examination
C. Assessing his skin for bruises and petechiae
D. Testing his stool for occult blood
C
All the screening and prevention activities are appropriate; however, people with Down syn-drome have an increased lifetime risk for the development of leukemia.
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The nurse is caring for a patient with an alcohol use disorder. The patient asks the nurse, "Can my children inherit this?" What does the nurse explain is role of genetics on the development of a substance use disorder?
1. The role of genetics is minor in comparison to the role of the environment. 2. Genetics does not seem to play a role in the development of substance use disorders. 3. The role of genetics in substance use disorders has not been determined. 4. Genetics plays a major role in the development of substance use disorders.
The nurse is evaluating the effectiveness of interventions to address a client's bowel and bladder dysfunction as a result of a spinal cord injury. Which of the following would indicate that the interventions are successful?
1. The client has an indwelling urinary catheter and is provided with stool softeners every morning. 2. The client had two episodes of impacted stool over the last week. 3. The client is improving in ability to perform self-urinary catheterization. 4. The client is limiting fluids to reduce need to void.
A nurse has assessed that a woman is a victim of intimate partner violence (IPV). The woman feels safe to go home from the clinic. The priority action by the nurse would be to
a. give the woman resources she can keep with her at all times. b. help the woman create a safety plan for her and her children. c. let the woman make phone calls from the clinic telephones. d. tell the woman that the nurse is available to help her if needed.
Ms. P has delivered her first baby 30 minutes ago and the placenta delivered 15 minutes ago. She is attempting to breastfeed her newborn daughter for the first time. Which action by the nurse would NOT be appropriate?
a. The nurse is checking the BP every 15 minutes b. The nurse is massaging the fundus vigorously c. The nurse is auscultating the infant's heart and lungs while on the mother's chest d. The nurse is leaving the patient unattended for 30 minutes to bond with her newborn