NUR 265 EXAM 4 NEWEST COMPLETE 220
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED
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Breast Cancer: Risks ✔✔ANSWER✔✔-BRCA 1&2 genes (preventative
mastectomy)
-women age 65-80
-elevated estrogen levels
-alcohol consumption
-history of child after 30 years of age
-early menstruation or late menopause
Breast cancer: Assess ✔✔ANSWER✔✔screening history: mammography
every year starting at 45***
-self exam frequency (same time of the month)***
-breast appearance (dimpling, orange peel appearance)
-breast ultrasound if have dense breast tissue; if cant get good
mammography image***
Breast Cancer: interventions ✔✔ANSWER✔✔pre and post
lumpectomy/mastectomy
**prophylactic mastectomy is patient with BRCA 1 and 2 gene
Lung Cancer: Assess ✔✔ANSWER✔✔-respiratory
-smoking history
-screening history (chest CT)--typically only for high risk patients;
(smoking for 20 years; may get routine CT)
Lung cancer: Interventions ✔✔ANSWER✔✔VAT with wedge resection
chemo
external radiation
,Colorectal cancer: risks ✔✔ANSWER✔✔-over the age of 50
-genetic
-history of IBD
-smoking
-alcohol consumption
-high fat diet of red meat
Colorectal Cancer: screening ✔✔ANSWER✔✔-fecal occult blood test
yearly***
-sigmoidoscopy OR double contrast barium enem OR colonoscopy every
5 YEARS**
Colorectal: s/sx ✔✔ANSWER✔✔-rectal bleeding
-anemia
-changes in tool consistency
-mahogany (dark) colored or bright red stools
colorectal cancer: Assess ✔✔ANSWER✔✔-stool output
-changes to stool
-blood in stool
*new onset constipation can suggest advanced disease
, colorectal cancer: interventions ✔✔ANSWER✔✔-screen
-surgical resection of colon; possible colostomy/ileostomy
-chemo
Prostate cancer: Risk ✔✔ANSWER✔✔-advanced age
-black men
-genetic (BRCA2 gene)
Prostate cancer: Screening ✔✔ANSWER✔✔PSA (prostate specific
antigen); simple blood draw; between the ages of 55-69
-only if at high risk
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