The nurse performs a breast exam on a client and finds a firm, non-moveable lump in the upper outer quadrant of the right breast that the client reports was not there 3 weeks ago. What does this finding suggest?
A) Normal finding
B) Benign fibrocystic disease
C) Malignant tumor
D) Malignant tumor with metastasis to surrounding tissue
C
Feedback:
A fast-growing lump is suggestive of a malignant tumor. Metastasis can only be determined by cytology, not by palpation.
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You are doing a preoperative assessment on a patient going to surgery. The patient informs you that he drinks six to eight beers each day and has for the last 15 years. What postoperative difficulties can the nurse anticipate for this patient?
A) Delirium tremens immediately following surgery B) Delirium tremens within 72 hours after his last alcohol drink C) Delirium tremens upon administration of general anesthesia D) Delirium tremens 1 week after his last alcohol drink
During a shower, the person living in a nursing center depends on the CNA to perform most aspects of the task. How do you allow the person to help care for himself or herself? How do you do this and maintain safety?
What will be an ideal response?
The obstetric nurse should instruct the woman in the first trimester of pregnancy to
A) Eliminate high-fiber foods B) Eat foods high in folic acid C) Consume saturated fats D) Consume milk products in the last trimester
Before the insertion of a nasogastric tube, the physician should be notified of:
A. Patent nares B. Absent bowel sounds C. Evident gag reflex D. Impaired swallowing