Adult CPA 4 questions

While teaching a community group about women's health, what guidelines should the nurse include?

"It is recommended that you undergo regular screening mammography starting at age 45 years"

Which recommendation should the nurse include when teaching a client about the prevention of breast cancer?

-Avoid exposure to harmful radiation -Avoid gaining excess weight during adulthood -Avoid smoking

For what treatment should the nurse educate a client with newly diagnosed with fibromyalgia?

-Pregabalin -SSRIs -Relaxation strategy (biofeedback) -Low-impact aerobic exercise

The nurse will instruct the client with to make sure that sunscreen includes what qualities to ensure effectiveness?

-SPF of at least 15 -SPF of 30 for clients with a history of skin cancer -Labeled as broad spectrum

A client newly diagnosed with HIV infection inquires as to the requirements for the development of AIDS. What diagnostic criterion for AIDS would the nurse share with the client?

-The presence of HIV antibodies -A CD4+T cell count below 200 -Loss of 10% of more of ideal body mass -The presence of an opportunistic cancer -The presence of an opportunistic infection

The nurse is reviewing the chart of four female patients. Which client would the nurse anticipate providing teaching to regarding fibroadenoma?

A client without nipple discharge, fever, or pain

What client may have the highest risk for developing malignant melanoma?

A fair skinned woman who uses the tanning booth regularly

A group of nurses are discussing risk factors for transmission of HIV from clients. Which of the following individuals should the nurse identify as being at the greatest risk for contracting HIV?

A phlebotomist who collects blood from clients who have HIV

Which interpretation of a diagnostic report that indicates a mutated BRCA1 gene would the nurse give to the client?

BRCA1 is responsible for some types of hereditary breast cancers, further testing is needed

A nurse is caring for a client who has HIV. Which of the following laboratory values is the nurse's priority?

CD4-T-cell count 180

Which client is at risk for an alteration in the hematologic system that could lead to lymphedema?

Client with breast cancer who had a mastecotmy

A nurse is caring for a client who is HIV positive and is one day postoperative following an appendectomy. The nurse should wear a gown as PPE when taking which of the following actions?

Completing a dressing change

A young adult female client with dense breast tissues is being prepared for a breast cancer screening. The nurse would prepare the client for which procedure?

Digital mammography

Which condition will the nurse identify as increasing the risk of contracting COVID-19?

Down syndrome

A nurse is providing teaching to a 17 year old female who has severe acne about use of isotretinoin. Which of the following adverse effects should the nurse instruct the client is the priority to report to the provider?

Feelings of isolation

A nurse is presenting a community-based program about HIV and AIDS. A client asks the nurse to describe the initial symptoms experienced with HIV infection. Which of the following manifestations should the nurse include in the explanation of initial symptoms?

Flu-like symptoms and night sweats

A nurse is providing teaching to a client who has a new prescription for tamoxifen to treat breast cancer. The nurse should include that which of the following is an adverse effect?

Hot flashes

The nurse will include what teaching for a female client with acne who is taking isotretinoin to treat acne and who is planning to conceive?

Instruct the client to stop this medication because it can have adverse effects on the fetus

During the immediate postoperative phase, which intervention would the nurse perform to help prevent the development of lymphedema in a postop left modified radical mastectomy client

Keeping the left arm elevated on pillows higher than the axilla

A nurse is caring for a client with the following clinical manifestations of COVID-19: cough, RR 19, normal chest x-ray, loss of taste and smell. The nurse should identify this client to be in what category of COVID-19?

Mild

The nurse is reviewing the treatment plan of clients with breast disorders. The nurse would question which client's treatment plan?

Patient with lactational mastitis has been on antibiotic therapy for 1 month, the skin over the breasts is red and edematous, client has a fever and a palpable mass in the breast. Treatment is to administer analgesic and anti-inflammatory medication

A nurse is caring for a client who has questions concerning the various treatment options for his new diagnosis of basal cell carcinoma. Which of the following treatments should the nurse include in the discussion?

Radiation therapy, laser therapy, electrodessication and curettage, cryosurgery

A nurse is caring for a client with the following manifestations of COVID-19: cough, fever, lung infiltrates >50% on chest x-ray, SPO2 92% on room air, RR of 32. The nurse should identify this client to be in what category of COVID-19?

Severe Illness

A nurse is providing teaching to a client who has a superficial lesion and has had a biopsy indicates malignant melanoma. The nurse should include which of the following options as the treatment of choice?

Surgical excision

The nurse is providing preoperative teaching for a client prior to a simple mastectomy. Which nursing statement is correct?

The breast tissue and mammary glands will be removed

A client with a history of HIV is scheduled to receive antiretroviral drugs. What statement by the client reflects a correct understanding of the purpose of the medications?

These drugs work by decreasing the viral load

The nurse is educating a client about viral vector vaccines for COVID-19. What statement made by the client shows understanding of the teaching?

This vaccine utilizes a virus to help my body develop antibodies for COVID-19

The nurse is caring for a client newly diagnosed with fibromyalgia. Which of the following is an example of an appropriate exercise to recommend for help maintaining the clients muscle tone and decrease pain?

Yoga