Which breast assessment of a menopausal woman warrants further investigation?

a. Slightly smaller left breast compared with the right breast
b. Eversion of both nipples
c. Striae and superficial veins noted bilaterally
d. Small dimple located in the upper outer quadrant of the right breast


D
There should be no dimpling of the breast tissue, and this warrants further investigation. Eversion of both nipples creates difficulty with breastfeeding in the childbearing years, but it has no impact on menopause. Striae and superficial veins noted bilaterally are common following pregnancies and breastfeeding.

Nursing

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The patient has just returned from having an arteriovenous fistula placed. The patient asks, "When will they be able to use this and take this other catheter out?" The nurse should reply,

a. "It can be used immediately so the catheter can come out anytime." b. "It will take 2 to 4 weeks to heal before it can be used." c. "The fistula will be usable in about 4 to 6 weeks." d. "The fistula was made using graft material so it depends on the manufacturer."

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Which patient has the least serious cognitive impairment? The patient who

a. does not know what year it is c. does not know who he is b. does not know where he is d. does not know who his wife is

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The nurse knows the client is reading the Nutrition Facts food label correctly when the client states: (Select all that apply.)

1. "It lists all ingredients in descending order.". 2. "I can tell if it is a reduced fat food.". 3. "It lists a portion size.". 4. "I can tell if the food has trans fats.". 5. "Total calories for the package are listed.".

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Identify the correct statement about desmopressin acetate (DDAVP).

A. It is proven effective in the treatment of nocturnal enuresis when administered prior to bedtime. B. It is injected SC or IM in the early treatment of diabetes insipidus. C. It is contraindicated in patients with abdominal distention associated with surgical procedures. D. It has a duration of action that is much shorter than the natural vasopressin.

Nursing