Which of the following risk factors associated with breast cancer would a nurse consider most significant in a client's history?
Answer(s): C
(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.
The nurse should know that according to current thinking, the most important prognostic factor for a client with breast cancer is:
Answer(s): B
(A) Although tumor size is a factor in classification of cancer growth, it is not an indicator of lymph node spread. (B) Axillary node status is the most important indicator for predicting how far the cancer has spread. If the lymph nodes are positive for cancer cells, the prognosis is poorer. (C) The client's previous history of cancer puts her at an increased risk for breast cancer recurrence, especially if the cancer occurred in the other breast. It does not predict prognosis, however. (D) The estrogen-progesterone assay test is used to identify present tumors being fedfrom an estrogen site within the body. Some breast cancers grow rapidly as long as there is an estrogen supply such as from the ovaries. The estrogen-progesterone assay test does not indicate the prognosis.
To appropriately monitor therapy and client progress, the nurse should be aware that increased myocardial work and O2 demand will occur with which of the following?
Answer(s): A
(A) Inotropic therapy will increase contractility, which will increase myocardial O2 demand. (B) Decreased heart rate to the point of bradycardia will increase coronary artery filling time. This should be used cautiously because tachycardia may be a compensatory mechanism to increase cardiac output. (C) The goal in the care of the MI client with angina is to maintain a balance between myocardial O2 supply and demand. (D) Decrease in systemic vascular resistance by drug therapy, such as IV nitroglycerin or nitroprusside, or intra-aortic balloon pump therapy, would decrease myocardial work and O2 demand.
Share your comments for NCLEX NCLEX-RN exam with other users:
for question #118, the answer is option c. the screen shot is showing the drop down, but the answer is marked incorrectly please update . thanks for sharing such nice questions.
the correct answer for the question 29 is d.
question no 22: correct answers: bc, 1 per session 1 per page 1 per component always
these are pretty useful
awesome
yes please upload
great job whoever put this together, for the greater good! thanks!
just started to view all questions for the exam
helpful material
hope for the best
will post exam has finished
really correct and good analyze!
excellent thanks a lot
will post once pass the cka exam
good content
q:32 answer has to be option c
nice questions
i really like the support team in this website. they are fast in communication and very helpful.
a good contemporary exam review
q23, its an array, isnt it? starts with [ and end with ]. its an array of objects, not object.
cool very helpfull
i just passed. this exam dumps is the same one from prepaway and examcollection. it has all the real test questions.
is this a valid prince2 practitioner dumps?
all are relatable questions
might help me to prepare for the exam
just paid and downlaod the 2 exams using the 50% sale discount. so far i was able to download the pdf and the test engine. all looks good.
i think it should be a,c. option d goes against the principle of building anything custom unless there are no work arounds available
very legible
is this exam accurate or helpful?
please upload dump, i have exam in 2 days
this is useful
question 232 answer should be perimeter not netowrk layer. wrong answer selected
hi team, could you please provide this dump ?