An 80-year-old woman has found a lump in her breast and is in the clinic. What question by the nurse is most appropriate?
a. How long have you had this lump?
b. If it's cancer, are you willing to treat it?
c. Do you have cancer in your family?
d. Are you having any pain right now?
B
All questions are appropriate; however, for a woman this age, further testing is not recommended unless the patient is willing to go through with treatment for cancer. Tumors in older women tend to be slow growing and quality of life is a bigger priority.
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Owing to the unique challenges experienced by children of active duty military, which of the following fears would a nurse most likely identify? (Select all that apply.)
1. Fear of not being accepted in new schools 2. Fear of being behind academically 3. Fear of not making friends in new schools 4. Fear of losing athletic standing 5. Fear of discrimination from new school faculty
The mother of a 7-year-old girl tells the school nurse that her child is deathly afraid of going to school. What would be the best intervention the nurse could suggest in this situation?
A) Return the child to school and investigate the cause of the fear. B) Have the child stay home from school until any issues causing this fear are resolved. C) Investigate a new school for the child to attend that the child will not be afraid of. D) Tell the child that privileges will be taken away if she does not return to school.
Which statement, made by a research student, would the faculty interpret as indicating understanding of the status of research into the value of nursing?
1. "There are numerous studies on the value of nursing. I think I want to do something more unique.". 2. "Since hundreds of studies have been done on the value of nursing, I think I will choose to replicate one of them for my first project.". 3. "Everyone is so interested in proving the value of nursing, but the research we have read in class has been of poor quality.". 4. "Since many people are calling for research to support the value of nursing, I think that would be an interesting study.".
The nurse is preparing to administer digoxin to a client with heart failure. The nurse obtains an apical pulse rate for 1 minute and determines a rate of 52 beats/minute. What is the first action by the nurse?
A) Administer the medication and inform the charge nurse about the rate. B) Withhold the medication and notify the physician of the heart rate. C) Administer atropine to speed the heart rate and then administer the digoxin. D) Administer the medications and then notify the physician.