The nurse is examining a woman's breast and notes multiple small mobile lumps. Which question would be the most appropriate for the nurse to ask?
a. "When was your last mammogram at the clinic?"
b. "How many cans of caffeinated soda do you drink in a day?"
c. "Do the small lumps seem to change with your menstrual period?"
d. "Do you have a first-degree relative who has breast cancer?"
ANS: C
The most appropriate question would be one that relates to benign lesions that usually change in response to hormonal changes within a menstrual cycle. Reduction of caffeine in the diet has been shown to give relief in fibrocystic breast conditions, but research has not found that it has a significant impact. Questions related to the client's last mammogram or breast cancer history are not related to the nurse's assessment.
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The nurse case manager is discussing the pros and cons of Assertive Community Treatment (ACT) programs with a patient who is due to be discharged from the inpatient mental health unit
Which patient statement indicates the patient has understood the information provided? 1. "These programs are expensive and not cost-effective." 2. "These programs will assign me to a single staff member who will work with me to achieve my goals." 3. "These programs offer access to resources such as housing and financial assistance." 4. "These programs increase stress and burnout of individual case managers."
Determining nitrogen balance in the clinical setting can be very valuable. To determine a client's state of nitrogen balance, a 24-hour urinary urea nitrogen collection is done. What do you also need to do?
A) Calculate the client's total calorie intake for that same day. B) Add a coefficient of 4 to that number to account for nitrogen lost in feces, hair, nails, and skin. C) Collect a 24-hour stool specimen on that same day to determine fecal nitrogen losses. D) Be sure that client takes nothing by mouth on the day of the urine collection.
Which of the following is most likely?
Chris is a 20-year-old college student who has had abdominal pain for 3 days. It started at his umbilicus and was associated with nausea and vomiting. He was unable to find a comfortable position. Yesterday, the pain became more severe and constant. Now, he hesitates to walk, because any motion makes the pain much worse. It is localized just medial and inferior to his iliac crest on the right. A) Peptic ulcer B) Cholecystitis C) Pancreatitis D) Appendicitis
The nurse is identifying interventions for a patient with a hearing deficit. What should be included in this patient's plan of care? Select all that apply.
A. Speak loudly and in a higher pitch for easier understanding of words. B. Offer alternative methods of communication, such as paper and pencil. C. Restate in exactly the same words if not understood the first time. D. Speak face-to-face, but do not overarticulate your words. E. Use facial and hand gestures while talking.