The nurse is teaching a class on breast self-examination. Which of the following should the nurse include in the class?
a. Include both inspection and palpation of the breast in the exam.
b. Use only deep pressure when palpating the breast.
c. Use the fingertips to palpate the breast.
d. Perform a breast palpation exam in front of a mirror.
A
Breast self-exam should include inspection of the breasts in front of a mirror. Gentle pressure should be used when palpating the breast. If the pressure is too deep or hard, the examiner may mistake a rib for a hard breast mass. Palpation should be performed using the palmar surfaces of the finger pads, not the fingertips. It is not necessary to perform the palpation exam in front of a mirror.
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The nurse is caring for a 26-year-old woman with partial seizures. She has been prescribed oxcarbazepine (Trileptal) as monotherapy. It will be critical for the nurse to inform the patient
A) that she should allow for periods of rest during the day. B) that she is taking oral contraceptives, she will need to use an additional form of birth control. C) that she must have an eye exam at least every other month during oxcarbazepine therapy. D) that GI problems are to be expected.
The nurse is caring for a panic-stricken patient. What is the priority initial nursing action?
a. Perform a physical assessment. b. Leave the patient alone in a darkened, quiet room. c. Stay with the patient. d. Notify the physician.
The first phase of the ethical decision-making model is
a. assessment c. planning b. analysis and diagno-sis d. implementation
Which of the following best describes spirituality?
1. The capacity to love 2. Objective viewpoints 3. Logical thinking 4. Critical deliberation