Author Question: While interviewing a 48-year-old patient during her annual physical examination, the nurse learns ... (Read 43 times)

bb · **on:** Jun 27, 2018

While interviewing a 48-year-old patient during her annual physical examination, the nurse learns that she has never had a mammogram. The American Cancer Society recommends annual mammography screening starting at age 40 .

Before the nurse encourages this patient to begin annual screening, it is important for her to understand the reasons why women avoid testing. These reasons include (select all that apply) a. Reluctance to hear bad news
b. Fear of x-ray exposure
c. Belief that lack of family history makes this test unnecessary
d. Expense of the procedure
e. Having heard that the test is painful

Question 2

The nurse is performing a blood glucose test every 4 hours on an infant born to a diabetic mother. This is to assess the infant's risk of hypoglycemia.

The nurse becomes concerned if the infant's blood glucose concentration falls below ______ mg/dl. Fill in the blank(s) with correct word

sultana.d · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

A, B, D, E
Feedback
Correct All of these are reasons for women to avoid having a mammogram done.
Although the test is expensive, it is usually covered by health insurance,
and many communities offer low-cost or free screening to women without
insurance. It is important to acknowledge that some discomfort occurs
with screening. Scheduling the test immediately at the end of a period
makes it less painful. The risk of radiation exposure is minimal to none.
Nurses play a vital role in providing information and reassurance to help
women overcome these fears.
Incorrect Even patients with no family history should have regular screening done.
The nurse should emphasize that a combination of breast self-examination
and mammography needs to be performed at regular intervals. Women
with a family history may need to begin screening at a younger age and
have additional testing such as ultrasound performed.

Answer to Question 2

40
If the newborn has a blood glucose level below 40 mg/dl intervention such as
breastfeeding or bottle-feeding should be instituted. If levels remain low after this
intervention an intravenous with dextrose may be warranted.