A client with a history of fibrocystic breasts calls into the office very fearful of developing breast cancer. The next step the nurse takes is to:
a. schedule the client a bilateral mammogram
b. allow the client to come into the office for a breast exam
c. telling the client there is nothing to worry about
d. listen to the client and explain the differences between fibrocystic breasts and breast neoplasms
D
A key role of the nurse is to explain the differences between malignant breast lesions and fibrocystic breast changes to help alleviate the client's anxiety.
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The nurse is caring for a patient who had prostate surgery the previous day. The patient has had significantly decreased urine output over the last shift despite ample oral and IV fluid intake
The patient's urine from the indwelling catheter is cherry red with occasional small clots. What is the appropriate action of the nurse? a. Remove the urinary catheter and replace it with a new one b. Gently irrigate the catheter using warmed sterile normal saline c. Send a sample of the patient's urine to the laboratory for analysis d. Call the physician and obtain an order for kidney and bladder ultrasound
During an examination an older client is surprised to learn of a leg sore. For what reason might the client be unaware of the sore being present on the leg?
1. Living alone makes it difficult to examine the legs. 2. Pain perception is diminished in the elderly. 3. The client does not bathe enough. 4. The client did not know how to treat the wound.
The patient is receiving spironolactone (Aldactone). The nurse has completed dietary education and evaluates that the patient needs additional education when the patient makes which statement?
1. "I am really happy that I can have my cranberry juice." 2. "Thank goodness I can still have my orange juice and bananas for breakfast." 3. "I need an apple a day to stay regular; I'm glad I can still have this." 4. "I am German, so I could not give up my cabbage and mushrooms."
When performing a skin assessment, the nurse notices a mole on the patient's upper back. What are the appropriate actions by the nurse in further investigation of the mole? Select all that apply
a. Ask the patient about any new moles or changes in moles. b. Do not alarm the patient by asking questions about the mole. c. Measure the mole's diameter and elevation. d. Assess for any exudate on or around the mole.