An older client complains of difficulty breathing and of ...

[pragya sharda]

An older client complains of difficulty breathing and of wheezing. The diagnostic test that is most likely to differentiate the diagnosis as asthma or chronic obstructive pulmonary disease (COP
  D) is
 
  A) chest x-ray examination (CXR).
  B) electrocardiogram (EKG).
  C) pulmonary function tests (PFTs).
  D) complete blood count (CB
  C).

Question 2

The nurse is instructing an older female patient on reproductive cancer screenings. Which information would the nurse include in this teaching?
 
  1. Eliminate Pap smears if high risk factors are absent.
  2. Obtain mammography every other year after the age of 40.
  3. Avoid hormone replacement therapy for vasomotor symptoms.
  4. Eliminate self-examination of the breasts if the patient finds this socially unacceptable.

[chereeb]

Answer to Question 1

C

Answer to Question 2

1
Rationale: Current recommendations are that women who are over age 65, who have had a regular history of normal Pap smears, and who are not at high risk because of other factors should not receive routine Pap smears.

[pragya sharda]

TYSM

[alvinum]

Excellent