A woman has a breast mass that is not well-delineated, nonpalpable, nonmobile, and nontender. This is most likely:
1. fibroadenoma.
2. lipoma.
3. intraductal papilloma.
4. mammary duct ectasia.
3
1. Incorrect. Fibroadenoma is well delineated, palpable and movable.
2. Incorrect. Lipoma is palpable and movable.
3. Correct. Intraductal papilloma is the only benign breast mass that is nonpalpable.
4. Incorrect. Mammary duct ectasia is also not well delineated and nonmobile, but it is palpable and painful.
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When suctioning a tracheostomy, the nurse should:
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A client tells the nurse, "I'm a real freak. I'm a psychiatric patient, in and out of hospitals all the
time. None of my friends or relatives is crazy like this.". The reply that would help the client understand the prevalence of mental illness is a. "Comparing yourself with others has no real advantages.". b. "Mental illness affects 50% of the adult population in any given year.". c. "Nearly 50% of all people aged 15 to 55 years have had a psychiatric disorder at some time in their lives.". d. "You are not to blame for having a psychiatric illness. The important thing is to recognize your need for treatment.".
In a class for new parents, what information should the nurse include about the fontanelles in the newborn infant?
A. "There are three fontanelles, or ‘soft spots,' on the infant's head." B. "Notify the physician if you notice bulging of the fontanelle when the infant cries." C. "Avoid touching the skin over the fontanelles because the infant's brain could be damaged." D. "The posterior fontanelle closes in 2 to 3 months; the anterior fontanelle in about 18 months."
Which patient described below most needs an advocate?
a. A 68-year-old female patient who tells you that she always relies on her husband to decide what is best b. An 80-year-old patient who states, "Why do people talk over my head as if I was a child?" c. A 4-year-old patient whose mother visits each evening but goes home to care for her other two children each night d. A 36-year-old patient who states, "I really wish this surgery wasn't necessary. I want to look at my other choices, again."