The nurse is examining a client with a history of benign breast disease. Which findings does the nurse anticipate when assessing this client's breasts? Select all that apply
1. Straw-colored discharge from the nipples.
2. Freely movable masses.
3. Hard, fixed nodules.
4. Thickened breast tissue.
5. Masses with well-defined boundaries.
Correct Answer: 1, 2, 4, 5
Upon palpation of fibrocystic breasts, the masses feel soft, well demarcated and freely movable. Discharge from the nipples may be clear, straw-colored, milky, or green. These symptoms are a result of fibrosis, which is a thickening of the normal breast tissue and may be accompanied by cyst formation. Hard, fixed nodules are suggestive of cancer of lymphoma.
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A woman in labor is breathing into a mouthpiece just before the start of her regular con-tractions. As she inhales, a valve opens, and gas is released. She continues to inhale the gas slowly and deeply until the contraction starts to subside
When the inhalation stops, the valve closes. This procedure is: a. Not used much anymore. b. Likely to be used in the second stage of labor but not in the first stage. c. An application of nitrous oxide. d. A prelude to cesarean birth.
A patient at 36 weeks' gestation is reporting continuous, heavy vaginal discharge and pelvic pressure. A nitrazine test confirms PROM with no sign of infection. After being admitted which intervention will the nurse most likely perform?
A) Administer 48 hours of antibiotics IV followed by five days PO B) Perform daily pelvic examinations to monitor her progress C) Administer IM corticosteroids to promote fetal lung maturation D) Administer oxytocin to induce labor
A long-term care facility sponsors a discussion group on the administration of medications. The participants have a number of questions concerning their medications. The nurse responds most appropriately by saying:
1. "Don't worry about the medication's name if you can identify it by its color and shape." 2. "Unless you have severe side affects, don't worry about the minor changes in the way you feel." 3. "Feel free to ask your physician why you are receiving the medications that are prescribed for you." 4. "Remember that the hepatic system is primarily responsible for the pharma-cotherapeutics of your medications."
The nurse is providing care to a dying client. Which of the following is the primary concern? The nurse should:
1. Promote optimism in the client and be a source of encouragement 2. Promote dignity and self-esteem in as many interventions as is appropriate 3. Allow the client to be alone and expect isolation on the part of the dying person 4. Intervene in the client's activities and promote as near normal functions as possi-ble