A nurse assesses clients at a community health center. Which client is at highest risk for pancreatic cancer?
a. A 32-year-old with hypothyroidism
b. A 44-year-old with cholelithiasis
c. A 50-year-old who has the BRCA2 gene mutation
d. A 68-year-old who is of African-American ethnicity
ANS: C
Mutations in both the BRCA2 and p16 genes increase the risk for developing pancreatic cancer in a small number of cases. The other factors do not appear to be linked to increased risk.
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A patient, age 78, has been admitted to the hospital with dehydration and electrolyte imbalance. She is confused and incontinent of urine on admission
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The nurse is providing discharge instruction for a client recently diagnosed with asthma. Which of the following statements by the client indicates a need for further education?
A) "I will use my peak flow meter every day for 2 weeks." B) "I will use my peak flow meter when I feel that I am catching a cold." C) "I will use my peak flow meter prior to going to bed." D) "I will use my peak flow meter before and after taking my medication."
Federal intervention to protect health insurance coverage for workers and families following a job change or loss is called:
1. Health Insurance Portability and Accountability Act (HIPAA) 2. Medical savings accounts 3. Health maintenance organizations 4. Third-party payers
A nurse is caring for a client prior to a major surgery. Which of the following minimum fasting recommendations should the nurse expect?
A) No fruit juice should be consumed 3 hours prior. B) Toast and black coffee should be consumed 8 hours prior. C) Alcohol should be consumed 6 hours prior. D) French fries and a cheeseburger should be consumed more than 8 hours prior.