A 42-year-old female client at average risk for breast cancer visits a community wellness center for a routine health evaluation. She states she has never had a mammogram and asks the nurse when she should begin this screening. Based on current consensus guidelines, which of the following is the most appropriate instruction by the nurse?
- Recommend scheduling a screening mammogram now and advise returning for the exam every two years.Cevap
- BExplain that performing monthly breast self-examinations serves as adequate primary prevention, making a mammogram unnecessary.
- CInform the client that standard screening mammograms are not indicated until age 50 unless she begins experiencing abnormal physiological changes.
- DInstruct the client to obtain a screening breast ultrasound first, followed by a mammogram only if the ultrasound reveals cystic lesions.
Cevap
The nurse should recommend scheduling a screening mammogram now and advise returning for the exam every two years.
The correct response reflects the most current evidence-based guidelines, which recommend that women at average risk for breast cancer begin biennial (every two years) screening mammography at age 40. Because the client is 42 years old, she should initiate screening immediately and continue on a two-year schedule.
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Secondary Prevention and Evidence-Based Screening Guidelines
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