A 40-year-old female patient with a family history of breast…

A 40-year-old female patient with a family history of breast cancer (her mother was diagnosed at age 45) visits the clinic for her annual check-up. She asks the nurse when she should begin mammogram screenings. What is the most appropriate recommendation for this patient based on her family history?

A nurse is caring for a 32-year-old patient with a T6 spinal…

A nurse is caring for a 32-year-old patient with a T6 spinal cord injury who suddenly develops severe headache, flushing above the injury level, nasal congestion, and a blood pressure of 190/110 mmHg. The patient reports feeling anxious. The nurse suspects autonomic dysreflexia. What is the priority nursing intervention in this situation?

A nurse is monitoring a 70-year-old patient on telemetry who…

A nurse is monitoring a 70-year-old patient on telemetry who was admitted for syncope and hypotension. The ECG reveals a third-degree atrioventricular (AV) block with a ventricular rate of 28 beats per minute. The patient is diaphoretic and reports severe dizziness. The healthcare provider is unavailable for immediate consultation. What is the most appropriate immediate action by the nurse?

A 62-year-old postoperative patient complains of abdominal d…

A 62-year-old postoperative patient complains of abdominal discomfort and bloating on the second day after abdominal surgery. The nurse notes absent bowel sounds, and the patient has not passed flatus or had a bowel movement since surgery. The patient reports mild nausea but no vomiting. The healthcare provider diagnoses paralytic ileus. What is the priority nursing intervention for managing this patient?

A nurse is caring for a 62-year-old patient who underwent to…

A nurse is caring for a 62-year-old patient who underwent total hip replacement surgery. The patient is at risk for developing deep vein thrombosis (DVT) due to immobility following the procedure. The nurse plans to implement preventive measures. Which intervention is most effective for preventing DVT in this patient?

A 65-year-old patient with chronic kidney disease (CKD) stag…

A 65-year-old patient with chronic kidney disease (CKD) stage 4 and hypertension is being reviewed for medication adjustments. The patient’s current medications include an ACE inhibitor, which they have been taking for years to manage blood pressure. Recent labs reveal: ·     Serum creatinine: 3.5 mg/dL (elevated) ·     Potassium: 5.8 mEq/L (elevated) ·     GFR: 22 mL/min/1.73m² (reduced) The healthcare provider considers whether to continue the ACE inhibitor. What is the most appropriate action regarding the use of ACE inhibitors in this patient?

A nurse is educating a 30-year-old patient who reports diffi…

A nurse is educating a 30-year-old patient who reports difficulty falling asleep and staying asleep. The patient states, “I feel tired all the time, and my sleep schedule is all over the place because of my late-night work hours.” The nurse explains the importance of maintaining proper sleep hygiene and supporting the body’s circadian rhythm. Which recommendation by the nurse is most effective for improving the patient’s sleep quality?