The nurse teaching a seminar on breast cancer lists the signs that would alert a woman to the possibility of a tumor. Those signs include (select all that apply):
1. dimpling.
2. nipple discharge.
3. contour change.
4. asymmetry.
5. "orange skin" texture
1, 2, 3, 4, 5
All the signs listed are signs of possible breast cancer.
PTS: 1 DIF: Cognitive Level: Comprehension REF: 1063
OBJ: 4 TOP: Signs of Breast Cancer
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance
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The initial response from the nurse would be to: 1. Perform a vaginal exam. 2. Notify the physician. 3. Place the client in a left lateral position. 4. Administer oxygen at 2L per nasal cannula.
When discussing aging, the nurse clarifies that the term older adulthood applies to those who are older than:
a. 55. b. 65. c. 70. d. 75.
The nurse plans care for a patient with Parkinson's disease. What will the best plan by the nurse include?
1. Monitor the patient for the ability to chew and swallow. 2. Check peripheral circulation for thrombophlebitis. 3. Monitor the patient for psychotic symptoms. 4. Limit exercise to decrease the possibility of fractures.
A husband accuses his wife of infidelity. Which situation would indicate to the nurse the husband's use of the ego defense mechanism of projection?
A. The husband cries and stamps his feet, demanding that his wife be true to her marriage vows. B. The husband ignores the wife's continued absence from the home.C. The husband has already admitted to having an affair with a coworker. D. The husband takes out his marital frustrations through employee abuse.