Which risk factor of her personal and family history most puts her in danger of getting breast cancer?

A 40-year-old mother of two presents to your office for consultation. She is interested in knowing what her relative risks are for developing breast cancer. She is concerned because her sister had unilateral breast cancer 6 years ago at age 38. The patient reports on her history that she began having periods at age 11 and has been fairly regular ever since, except during her two pregnancies. Her first child arrived when she was 26 and her second at age 28. Otherwise she has had no health problems. Her father has high blood pressure. Her mother had unilateral breast cancer in her 70s. The patient denies tobacco, alcohol, or drug use. She is a family law attorney and is married. Her examination is essentially unremarkable.

A) First-degree relative with premenopausal breast cancer
B) Age at menarche of less than 12
C) First live birth between the ages of 25 and 29
D) First-degree relative with postmenopausal breast cancer


A) First-degree relative with premenopausal breast cancer

Having a first-degree relative with cancer before menopause gives a relative risk of 3.1.

Nursing

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All nursing interventions that are implemented for patients must be documented or charted. Proper documentation of interventions:

a. facilitates communication with all members of the health care team. b. are only considered "legal" if documented in the paper chart. c. leads to errors of omission and repetition of care. d. does not directly measure goal achievement or outcomes.

Nursing

During the initial prenatal visit, the nurse obtains a weight of 42 kg (92.4 lbs). The nurse must further assess the patient for information about: Note: Credit will be given only if all correct and no incorrect choices are selected

Select all that apply. 1. Eating habits. 2. Foods regularly eaten. 3. Income limitations. 4. Blood pressure and pulse rate. 5. Weight loss during pregnancy.

Nursing

If a patient is to receive a premixed insulin as noted on the label below, which number indicates the intermediate-acting insulin percentage?

What will be an ideal response?

Nursing

You are on scene with a 14-year-old girl who states that she was beaten and was forced to have sexual contact with an older man at school. Which of the following is a true statement regarding documentation?

A) It is important to document the response of the parent. B) It is important to inspect her clothing. C) It is important to document the report and contact police. D) It is important to get a statement from the abuser.

Nursing