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NEW QUESTION 28
Which of the following risk factors associated with breast cancer would a nurse consider most significant in a client's history?

  • A. Maternal family history of breast cancer
  • B. Early menopause
  • C. Menarche after age 13
  • D. Nulliparity

Answer: A

Explanation:
Explanation/Reference:
Explanation:
(A) Women who begin menarche late (after 13 years old) have a lower risk of developing breast cancer than women who have begun earlier. Average age for menarche is 12.5 years. (B) Women who have never been pregnant have an increased risk for breast cancer, but a positive family history poses an even greater risk. (C) A positive family history puts a woman at an increased risk of developing breast cancer. It is recommended that mammography screening begin 5 years before the age at which an immediate female relative was diagnosed with breast cancer. (D) Early menopause decreases the risk of developing breast cancer.

 

NEW QUESTION 29
A client has chronic obstructive pulmonary disease. She is slowly losing weight, and her daughter is very concerned about increasing her nutrition. The nurse helps the daughter devise a plan of care for her mother.
The plan of care should include which of the following interventions to promote nutrition?

  • A. Encourage her to consume milk products.
  • B. Encourage her to engage in an activity before a meal to stimulate her appetite.
  • C. Offer her oral hygiene before and after meals.
  • D. Restrict her fluid intake to three glasses of water a day.

Answer: C

Explanation:
Explanation
(A) Clients with respiratory diseases are generally mouth breathers. Cleaning the oral cavity may improve the client's appetite, increase her feelings of well-being, and remove the taste and odor of sputum. (B) Milk causes thick sputum; therefore, milk products would not be beneficial for this client. (C) Exercise prior to a meal would require increased O2 consumption and most likely would decrease the client's ability to eat. (D) Clients with respiratory diseases need increased fluid to liquefy secretions.

 

NEW QUESTION 30
The nurse will be alert to the most potentially lifethreatening side effect associated with the administration of monoamine oxidase (MAO) inhibitor. This is:

  • A. Oculogyric crisis
  • B. Orthostatic hypotension
  • C. Hypertensive crisis
  • D. Tardive dyskinesia

Answer: C

Explanation:
Section: Questions Set G
Explanation:
(A) Oculogyric crisis, involuntary upward deviation and fixation of the eyeballs, is usually associated with either postencephalitic parkinsonian or drug-induced extrapyramidal symptoms (EPS). (B) Hypertensive crisis is a potentially life-threatening side effect. This may occur if the client ingests foods, beverages, or medications containing tyramine. (C) Orthostatic hypotension, a drop-in blood pressure resulting from a rapid change of body position, can occur with the administration of antidepressants. (D) Tardive dyskinesia, characterized by slow, rhythmical, automatic or stereotyped muscular movements, usually is associated with the administration of certain antipsychotic medications.

 

NEW QUESTION 31
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