During a breast examination, the nurse recognizes which finding as normal?
a. Asymmetrical venous pattern
b. Unequal nipple size
c. Supernumerary nipples along the milk line
d. Pinkish discharge from one nipple when manipulated
ANS: C
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Qualifiers are added to some NANDA statements to
1. Explain the cause of the nursing diagnosis 2. Give additional meaning to the diagnostic statement 3. Connect to the medical diagnosis 4. Identify collaborative problems 5.
In addition to maintaining current professional practice knowledge, competent practice skills, and professional relationships with patients and their families, nurses should: (Select all that apply.)
a. maintain confidentiality. b. follow legal guidelines for sharing information. c. block document once per shift. d. change nursing procedures according to latest journal articles. e. meet licensure and continuing education requirements.
The mother of a client with chronic undifferentiated schizophrenia calls the visiting nurse in the outpatient clinic to report that her daughter has not answered the phone in 10 days. "She was doing so well for months. I don't know what's wrong. I'm worried." Which of the following responses by the nurse is most appropriate?
a) "Maybe she's just mad at you. Did you have an argument?" b) "She may have stopped taking her medications. I'll check on her." c) "Don't worry about this. It happens sometimes." d) "Go over to her apartment and see what's going on."
An expected outcome of the client's urinary specimen is observed when the urine is:
A. Dark yellow B. Clear and straw-colored C. Showing some sediment D. Pink-tinged and slightly cloudy