practice med surg questions

the nurse performed physical assessments for four female clients during their general checkup. which client is most at risk for developing breast cancer?

patient B who is 60, has a family history, has no children and went through menopause at age 50

The nurse is assessing a young client who presents with recurrent gastrointestinal disorders. On further assessment, the nurse learns that the client is experiencing job-related pressures. which action is most important for the nurse to take? A.) educate the client on managing stress B.) teach the cleint to maintain a balanced diet C.) instruct the client to have regular checkups D.) ask the client to use sunscreen when working outdoors

A.) educate the client on managing stress

which factor in the history of a client who is a farmer with a large crusty patch of skin on the cheek that still bleeds easily and has not gotten better despite using different remedies, would cause the nurse to suspect skin cancer? A.) exposure to radiation B.) location of lesion C.) self treatment of lesions D.) contact with soil containments

A.) exposure to radiation

laboratory results for a client with small cell lung cancer reflect urine with a high specific gravity and a serum sodium level of 127mEq/L. The client has gained 7 pounds in 3 days, has decreased urine output, and no edema is noted. Which nursing interventions are appropriate for this client? SATA A.) initiate (fureosemide) Lasix B.) introduce a potassium restricted diet C.) start giving hypertonic IV solution D.) invoke a fluid restriction to 1000mL per day E.) set a goal of increasing sodium by 15 to 20mEq/L in the next 24 hours

A.) initiate (furosemide) Lasix D.) invoke a fluid restriction to 1000mL per day

The nurse is obtaining a history and performing a physical assessment of a client who has cancer of the tongue. which clinical findings would the nurse expect to identify? SATA A.) Halitosis B.) leukoplakia C.) bleeding gums D.) substernal pain E.) alterations in taste F.) enlarged cervical lymph nodes

B.) leukoplakia E.) alterations in taste F.) enlarged cervical lymph nodes

a client is worried about what to expect after having a pancretoduodenectomy (whipple procedure) for cancer of the pancreas. in helping this client plan for the future which concept would the nurse need to understand? A.) any history of alcohol or tobacco abuse B.) the stage and grade of clients cancer C.) any previous exposure to carcinogens D.) the survival rate of individuals with pancreatic cancer

B.) the stage and grade of clients cancer

which response would the nurse give to a client who has undergone a total hysterectomy because of fibroids when the client asks if she will still need a pap smears? A.) you will need annual pap smears B.) your cervix is gone, but you will still have to have a pap smear C.) you will only need a pap smear every 5 years D.) you no longer need a pap smear just annual check ups for preventative care

D.) you no longer need a pap smear just annual check ups for preventative care