Which of the following statements by the client indicates that she understands breast self-examination?
a. "I will examine both breasts in two different positions."
b. "I will perform a breast self-examination 1 week after my menstrual period starts."
c. "I will examine the outer upper area of the breast only."
d. "I will use the palm of the hand to perform the examination."
B
The woman should examine her breasts when hormonal influences are at a low level.
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The client's blood pressure is elevated, both lower extremities are edematous, and the liver is enlarged. The client is admitted for treatment with a medical diagnosis of cirrhosis. What nursing diagnoses and interventions would be appropriate for this client?
Based on data from the patient satisfaction survey, the nurse manager decides that a change should be made in communication with family members. What would be important for a nurse manager to consider when instituting a change to improve customer service?
a. Assess the perceptions of the nursing staff regarding the particular service problem. b. Include community representatives on a planning committee to address the change. c. Involve physicians, other healthcare professionals, and ancillary staff. d. Review all patient complaints with the nursing staff.
The nurse administering insulin to clients in a nursing home recognizes the signs of an insulin that is unusable. Which of the following insulins may be administered?
A) Insulin from a bottle that is frosted over B) A prefilled syringe that is milky white C) A vial of insulin that has been shaken D) A vial with insulin that has settled
A nurse is assigned to perform vaginal irrigation on a client. What step should be
followed when performing the procedure? A) Place the client in Fowler's position for the procedure B) Place the irrigating bag 20 inches above the client's hip level C) Separate the labia and gently insert the douche nozzle D) Release the clamp to let air out after inserting the nozzle