The school health nurse is presenting a health-promotion class to a group of middle-school students. Which is the best intervention to address health-promotion strategies related to the leading cause of cancer deaths in North America?
A) Monthly self-breast exams
B) Smoking cessation
C) Annual colonoscopies
D) Monthly testicular exams
Ans: B
Feedback: Cancer is second only to cardiovascular disease as a leading cause of death in the United States. Although the numbers of cancer deaths have decreased slightly, more than 560,000 Americans were expected to die from a malignant process in 2008. The leading causes of cancer death in the United States, in order of frequency, are lung, prostate, and colorectal cancer in men and lung, breast, and colorectal cancer in women, so smoking cessation is the health promotion initiative directly related to lung cancer. Therefore, the other options are incorrect.
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The nurse is palpating an adult client's neck and does not note any palpable lymph nodes. Which conclusion by the nurse is appropriate based on this data?
1. This finding indicates an infection. 2. This finding is considered normal. 3. This finding necessitates a referral to an ear, nose, and throat specialist. 4. This finding indicates the need for further assessment to determine the malformation.
The client's wife states, "I think something is wrong. He isn't responding to the antidepressant.". The nurse's best response would be, "Your husband may need to:
A) Stay on the medication for six months to see a response.". B) Learn to live with his depression symptoms.". C) Have a trial and error period to determine what medication is most effective for him.". D) Stop the medication immediately.".
The labor and delivery nurse is reviewing charts. The nurse should inform the supervisor about which patient?
1. Multip at 5 cm requesting labor epidural analgesia 2. Primip whose cervix remains at 6 cm for 4 hours 3. Multip who has developed nausea and vomiting 4. Primip requesting her partner to stay with her