An important area to include in a breast self exam in addition to the nipple, areola, and upper and outer quadrants of the breast is the :
a. axillary region c. ribcage area under-neath the breast
b. area near the clavicle d. area over sternum between breasts
A
Breast cancers often occur in the upper, outer quadrant of the breast and may extend into the tail of the breast and spread upward into the axilla. It is important to teach clients to examine the axillary region as well as the breast during BSE.
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In determining the glomerular filtration rate (GFR) or creatinine clearance, a 24-hour urine is obtained. If a reliable 24-hour urine collection is not possible,
a. it is not possible to determine the GFR. b. the BUN may be used to determine renal function. c. an elevated BUN/creatinine ratio can be used. d. a standardized formula may be used to calculate GFR.
A nurse is monitoring a patient who sustained a head injury. The nurse recognizes which finding as the earliest sign of change in neurologic status?
1. The patient cannot remember where he is. 2. The patient's pupil size is increased. 3. The patient's blood pressure has increased. 4. The patient exhibits decorticate posturing when stimulated.
The nurse is preparing to hang a new bag for a patient who is receiving total parenteral nutrition (TPN). During this procedure, the nurse will instruct the patient to take a deep breath and then perform which action?
a. Exhale slowly and bear down. b. Exhale slowly to the count of 10. c. Hold the breath and bear down. d. Take several rapid, shallow breaths.
What does posturing indicate?