The nurse is providing breast cancer education at a community facility. The American Cancer Society recommends that women get with mammograms:

Correct Answer: A

Rationale: The American Cancer Society recommends that women get yearly mammograms starting at age 40. This is because regular mammograms are the best way to detect breast cancer early when it's most treatable. Women at an average risk of breast cancer are advised to undergo yearly mammograms starting at age 40. Early detection through regular screening can help improve the chances of successful treatment and increase survival rates. It's important to follow these guidelines to ensure early detection and timely treatment of breast cancer.

Correct Answer: D

Rationale: When using an incentive spirometer, the patient should inhale deeply to reach the target volume indicated by the marker. Exhaling deeply does not achieve the objective of the incentive spirometer, which is to encourage deep inhalation. If the patient exhales deeply to reach the target, further teaching and clarification about the proper technique of using the spirometer are needed. The correct technique involves inhaling deeply to expand the lungs and help improve lung function.

Correct Answer: C

Rationale: The usual adult daily dosage of digoxin (Lanoxin) for the treatment of heart failure typically ranges from 0.125 mg to 0.25 mg. The maintenance dose is specific to each individual patient's needs and is adjusted based on factors such as age, weight, renal function, and the presence of other medical conditions. The dosage prescribed should be carefully determined by a healthcare provider to ensure optimal therapeutic effects and minimize the risk of side effects associated with digoxin. Dosages higher than 0.25 mg are usually not recommended due to the narrow therapeutic index of digoxin. It is essential for patients taking digoxin to have their drug levels monitored regularly to prevent toxicity.

Correct Answer: A

Rationale: Heart biopsy is performed throughout a client's lifetime after heart transplantation mainly to detect rejection. Rejection is a common complication following a heart transplant where the recipient's immune system recognizes the transplanted heart as foreign tissue and attacks it. By conducting heart biopsies, healthcare providers can monitor the health of the transplanted heart and detect signs of rejection early on. This allows for prompt intervention and adjustment of the client's immunosuppressive therapy to prevent further damage to the transplanted heart. Monitoring for rejection through heart biopsies is crucial in ensuring the long-term success of heart transplants and the overall well-being of the recipient.

Correct Answer: D

Rationale: The Dietary Approaches to Stop Hypertension (DASH) diet is recommended by healthcare professionals, including nurses, for clients with hypertension. This diet emphasizes consuming fruits, vegetables, whole grains, lean proteins, and low-fat dairy products while limiting sodium, saturated fats, and cholesterol. These dietary components are known to help lower blood pressure and improve overall health. The DASH diet has been proven effective in numerous studies and is endorsed by organizations like the American Heart Association for managing hypertension. It is important for clients to follow the DASH diet under the guidance of a physician to ensure it is tailored to their individual needs and health status.