During the assessment of a client's breasts, the nurse finds both breasts rounded, slightly unequal in size, skin smooth and intact, and nipples without discharge. What should the nurse do next?
1. Notify the charge nurse.
2. Notify the physician.
3. Document the findings in the nurse's notes as normal.
4. Document the findings in the nurse's notes as abnormal.
Correct Answer: 3
Rationale: The findings are all normal, so the nurse does not need to notify the charge nurse.
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One of your measurements yields a reading during physical assessment that seems very doubtful, considering the patient's general condition. If you are still in doubt about the data after rechecking, your best option is to
a. discard the instrument. b. record the initial reading. c. discard the reading and go on to the next assessment. d. seek another qualified nurse to confirm the reading.
The nurse puts a bedridden client's extremities through range of motion when giving a bath. This is an example of which type of nursing intervention?
a. independent c. dependent b. interdependent d. consultation
A client is admitted to the hospital with a diagnosis of Addison's disease. The nurse would monitor for which of the following problems associated with this disease? Select all that apply
1. Edema 2. Obesity 3. Syncope 4. Hirsutism 5. Hypotension 6. Muscle weakness
A group of nurses is reviewing medications used to treat attention deficit hyperactivity disorder. The students demonstrate understanding of the information when they identify methylphenidate as which of the following?
A) Selective serotonin reuptake inhibitor B) Psychostimulant C) Noradrenergic reuptake inhibitor D) Alpha agonist