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A nurse is caring for a postmenopausal client who is concerned that she might have an elevated
risk of breast cancer. After conducting a risk assessment, the nurse should identify which of the
following factors as increasing the client's breast cancer risk? Select all that apply.
Ans: Increased breast density
BMI of 32
Undergoing hormonal replacement therapy
A nurse is providing discharge teaching to a client who had a sickle cell crisis. Which of the
following statements indicates that the client understands the instructions?
Ans: "Physical activity is good for me, but I need to avoid overexertion."
A nurse is teaching a client who has pernicious anemia. The nurse should encourage the client
to increase consumption of which of the following food?
,Ans: Eggs
A nurse is providing teaching to a client who has a diagnosis of hepatitis A. Which of the
following statements by the client indicates an understanding of the teaching?
Ans: "I should stop eating raw clams."
A nurse is monitoring a client following a thyroidectomy for the presence of
hypoparathyroidism. Which of the following findings should the nurse expect?
Ans: Involuntary muscle spasms
A nurse is teaching a client with arthritis who is experiencing joint pain that impairs mobility.
Which of the following instructions should the nurse include?
Ans: "Apply heat to your joints prior to exercising."
A nurse is caring for a client who had a gastric resection to treat adenocarcinoma of the
stomach. The client tells the nurse in the PACU that he does not remember why the surgeon
said he had to have a tube in his nose. The nurse should explain that the NG tube serves which
of the following purposes?
Ans: Prevents excessive pressure on suture lines
A nurse is caring for a client who has diverticulitis. While the client has active inflammation, the
nurse should instruct the client to include which of the following foods in her diet?
,Ans: White bread and plain yogurt
A nurse is preparing a client who is scheduled to have an arthroscopy the following day. Which
of the following statements indicates that the client understands the pre-procedure teaching?
Ans: "The doctor will be able to see if I have signs of rheumatoid arthritis."
A nurse is caring for a client who has moderate Alzheimer's disease. Which of the following
actions should the nurse take?
Ans: Add gestures when speaking with the client
A nurse is caring for a client who has percutaneous endoscopic gastronomy (PEG) tube and is
receiving intermittent feedings. Prior to initiating the feeding, which of the following actions
should the nurse take first?
Ans: Place the client in the semi-Fowler's position
A nurse is providing dietary teaching to a client who has diverticulitis about preventing acute
attacks. Which of the following foods should the nurse recommend?
Ans: Foods high in fiber
A nurse is preparing an in-service presentation about assessing clients who are having an acute
myocardial infarction (MI). What is the most common assessment finding with acute MI?
, Ans: Substernal chest pain
A nurse is reviewing the medical history of a client who has presbyopia. With which of the
following activities should the nurse expect the client to have difficulty?
Ans: Reading the newspaper
A nurse is caring for a client who is 3 days postoperative following a below-the-knee
amputation. Which of the following actions should the nurse take?
Ans: Rewrap the residual limb with a bandage 3 times per day
A nurse is providing teaching to a client who has cervical cancer and is scheduled to receive
brachytherapy in an ambulatory care clinic. Which of the following statements by the client
indicates an understanding of the teaching?
Ans: "I need to lie still in bed during my brachytherapy treatment."
A nurse is checking paradoxical blood pressure of a client who has a possible cardiac
tamponade. In what order should the nurse complete the following steps?
Ans: 1. Paplate the blood pressure and inflate the cuff above the systolic pressure
2. Deflate the cuff slowly and listen for the first audible sounds
3. Identify the first BP sounds audible on expiration and then on inspiration
4. Subtract the inspiratory pressure from the expiratory pressure
5. Inspect the jugular venous distention and notify the provider