When assessing the client with ductal ectasia, the nurse understands that signs and symptoms supporting this diagnosis include which of the following? (Select all that apply.)
A. A soft mass on palpation
B. Greenish-brown nipple discharge
C. Enlarged axillary nodes
D. A mass with regular borders
E. Redness and edema over the site of the mass
F. Mass tenderness on palpation
B, C, E, F
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The nurse is planning care for a child with bacterial meningitis. The priority nursing diagnosis is:
1. Acute pain. 2. injury, Risk for. 3. infection, Risk for. 4. Impaired Gas Exchange.
After surgical correction of a Meckel diverticulum, what nursing action is the most important?
A. Administration of total parenteral nutrition B. Care of a nasogastric tube and oral care C. Referral to a dietician for low-residue diet D. Teaching parents and child colostomy care
A client has just been physically abused by his or her partner. He or she is in the examining room crying softly, rocking, and sucking his or her thumb. The nurse identifies this behavior as possible:
A) Compensation B) Intellectualization C) Regression D) Denial
Which of the following is an example of a STAT order?
A) A dose of epinephrine for a client experiencing anaphylactic shock B) An order for pain medication as needed following surgery C) An order to increase the dose of a heart medication D) An order to wean a patient gradually off of prednisone