A patient comes to the clinic complaining of a new onset of nipple discharge. After inspection of the breast and discharge, what action of the nurse has the highest priority?
a. Palpating both breasts comparing amount of discharge
b. Asking the patient about breast pain
c. Asking the patient to raise her arms and comparing the movement of the breasts
d. Obtaining a specimen of the discharge for cytology
ANS: D
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The nursing student is assigned a client to interview and is asked to practice the therapeutic communication technique of sharing perceptions. Which statement made by the student nurse best describes this technique?
a. "I noticed that you pace the halls, and you have a tense look on your face. I sense that you are anxious about something." b. "Can you tell me more about how you feel when you are arguing with your daughter?" c. "I would like to talk with you about your plan of care." d. "Tell me if I understand you correctly."
A patient tells a nurse that she eats "huge" amounts of food but stays hungry most of the time. What should the nurse explain as the cause of hunger experienced by persons with type 1 di-abetes?
a. Excess amount of glucose b. Need for additional calories to correct the increased metabolism c. Fact that the cells cannot use the blood glucose d. Need for exercise to stimulate insulin se-cretion
Which of the following signs and symptoms most likely suggests meningitis cause by N. meningitidis?
A. a purpura or a petechial rash B. absence of fever C. development of encephalitis D. absence of nuchal rigidity
Which of the following measures is appropriate when a nurse is washing his or her hands?
a. Use very hot water. b. Leave rings and watches in place. c. Lather for at least 15 to 20 seconds. d. Keep the fingers and hands up and the elbows down.