Author Question: The nurse is taking a history of a 68-year-old woman. What assessment findings would indicate a high ... (Read 39 times)

scienceeasy

  • Hero Member
  • *****
  • Posts: 565
The nurse is taking a history of a 68-year-old woman. What assessment findings would indicate a high risk for the development of breast cancer? (Select all that apply.)
 
  a. Age greater than 65 years
  b. Increased breast density
  c. Osteoporosis
  d. Multiparity
  e. Genetic factors

Question 2

A woman diagnosed with breast cancer had these laboratory tests performed at an office visit:
 
  Alkaline phosphatase
  125 U/L
  Total calcium
  12 mg/dL
  Hematocrit
  39
  Hemoglobin
  14 g/dL
  Which test results indicate to the nurse that some further diagnostics are needed?
  a.
  Elevated alkaline phosphatase and calcium suggests bone involvement.
  b.
  Only alkaline phosphatase is decreased, suggesting liver metastasis.
  c.
  Hematocrit and hemoglobin are decreased, indicating anemia.
  d.
  The elevated hematocrit and hemoglobin indicate dehydration.



coreycathey

  • Sr. Member
  • ****
  • Posts: 333
Answer to Question 1

ANS: A, B, E
The high risk factors for breast cancer are age greater than 65 with the risk increasing until age 80; an increase in breast density because of more glandular and connective tissue; and inherited mutations of BRCA1 and/or BRCA2 genes. Osteoporosis and multiparity are not risk factors for breast cancer. A high postmenopausal bone density and nulliparity are moderate and low increased risk factors, respectively.

Answer to Question 2

ANS: A
The alkaline phosphatase (normal value 30 to 120 U/L) and total calcium (normal value 9 to 10.5 mg/dL) levels are both elevated, suggesting bone metastasis. Both the hematocrit and hemoglobin are within normal limits for females.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
 

Did you know?

In most cases, kidneys can recover from almost complete loss of function, such as in acute kidney (renal) failure.

Did you know?

Carbamazepine can interfere with the results of home pregnancy tests. If you are taking carbamazepine, do not try to test for pregnancy at home.

Did you know?

Blood in the urine can be a sign of a kidney stone, glomerulonephritis, or other kidney problems.

Did you know?

For high blood pressure (hypertension), a new class of drug, called a vasopeptidase blocker (inhibitor), has been developed. It decreases blood pressure by simultaneously dilating the peripheral arteries and increasing the body's loss of salt.

Did you know?

Though the United States has largely rejected the metric system, it is used for currency, as in 100 pennies = 1 dollar. Previously, the British currency system was used, with measurements such as 12 pence to the shilling, and 20 shillings to the pound.

For a complete list of videos, visit our video library