The nurse is interviewing a postmenopausal client during an annual gynecologic exam. Which assessment finding presents the greatest concern in the care of this client?
A) Positive for human papillomavirus (HPV)
B) Use of pessary
C) Vaginal bleeding
D) Urinary stress incontinence
C
Feedback:
Vaginal bleeding in a client after menopause is abnormal and a predominant symptom for vaginal cancers. The incidence of vaginal cancer is higher among woman infected with HPV and those who use a pessary but neglect to remove and clean it. Urinary stress incontinence is not a significant concern.
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When assessing a patient with left-sided tension pneumothorax, the nurse would expect to auscultate:
A) wheezing on expiration. B) adventitious breath sounds over the left lung. C) lack of breath sounds over the right lung. D) a sucking sound across both lung fields.
The nurse is teaching a client with rheumatoid arthritis (RA) about joint protection principles. What information does the nurse include? (Select all that apply.)
a. Use smaller joints to rest the larger ones. b. Hold objects with two hands, not one. c. Sit most often in a reclining chair. d. Use assistive-adaptive devices. e. Bend at your knees to lift objects.
Tips regarding nutrition that impact test taking are listed below. Which is not correct?
a. Plan to eat three well-balanced meals per day for at least three days before the exam. b. Plan foods for the day of the exam that do not cause intestinal distress or make you thirsty. c. Limit the amount of fluids you drink before the exam to minimize the potential for a full bladder midway through the exam. d. Fast the day before and/or the day of the exam for a clear mind.
The healthy adult has:
a. 10 to 14 respirations per minute b. 12 to 18 respirations per minute c. 12 to 20 respirations per minute d. 15 to 30 respirations per minute