In assessing cancer risk, the nurse identifies which woman as being at greatest risk of developing breast cancer?
A) A 35-year-old multipara who never breastfed.
B) A 50-year-old whose mother had unilateral breast cancer.
C) A 55-year-old whose mother-in-law had bilateral breast cancer.
D) A 20-year-old whose menarche occurred at age 9.
Answer: B) A 50-year-old whose mother had unilateral breast cancer.
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A nurse assesses a male client with an abdominal hernia. Which abdominal hernias are correctly paired with their physiologic processes? (Select all that apply.)
a. Indirect inguinal hernia - An enlarged plug of fat eventually pulls the peritoneum and often the bladder into a sac b. Femoral hernia - A peritoneum sac pushes downward and may descend into the scrotum c. Direct inguinal hernia - A peritoneum sac passes through a weak point in the abdominal wall d. Ventral hernia - Results from inadequate healing of an incision e. Incarcerated hernia - Contents of the hernia sac cannot be reduced back into the abdominal cavity
The nurse taught the client how to self-administer eye drops and the client was performing a return demonstration. During this time, the client inadvertently touched the applicator to their cornea, which caused the client to blink and produce tears
How will the nurse document this occurrence? 1. Abnormal and should be reported to the healthcare provider. 2. Hyperactive. 3. A medication side effect. 4. A normal response.
A 62-year-old white male whose chief complaint is abdominal discomfort is admitted to your unit. The patient is jaundiced and has an enlarged abdomen
Upon percussing the patient's abdomen, you determine that ascites is present on the basis of which finding? a. hyperresonance to percussion in the left lower quadrant b. change from tympany to resonance as you percuss each quadrant of the abdomen c. dullness detected in the right upper quadrant d. shift in location of the areas of dullness as he turns from side to side
An infant develops one extremity that is shorter than the other. This occurs with
A) Bone tumors B) Hip fractures C) Loss of calcium D) Hip dislocation