Which response by the nurse would be most helpful to a 13-year-old girl who questions the symmetry of her breasts during a school physical exam?
A) "One breast may grow faster than the other during development."
B) "You need to begin to do self breast exams to check for lumps."
C) "You will probably have fibrocystic breasts as you develop further."
D) "You need to be checked for hormonal imbalance in about 6 months."
A
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he nurse cares for a client with portal hypertension who is diagnosed with asterixis. Which assessment finding corresponds with the client's diagnosis of asterixis?
A) Muscle tremor and downward flap of the hand B) Flaccid muscles and upward flexion of the hand C) Discoloration of the abdominal skin D) Increased abdominal circumference
A patient tells the nurse that she used to get the "common cold" at least three times a year but now can't remember the last time she had one. What should the nurse realize this patient is describing?
1. healthy B cell functioning 2. healthy helper T cell functioning 3. T cell secretion of antibodies 4. healthy regulator T cell functioning
The nurse performs all of the following actions when examining the anus EXCEPT
a. ask the patient to take a breath in and hold it b. glove and lubricate a finger and rotate the inserted finger 360 degrees c. assess for anal sphincter weakness d. document perianal varicosities as hemorrhoids
In which order should the nurse conduct the examination of a postpartum client?
1. L–lochia 2. B–bowel 3. B–breast 4. U–uterus 5. B–bladder 6. E–emotional 7. H–Homans/hemorrhoids 8. E–episiotomy/laceration/edema