Included in the subjective assessment of the breast are the patient's statements about what? (Mark all that apply.)
A) Breast size
B) Palpation
C) Surgeries
D) Nipple discharge
E) Personal history
C, D, E
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The nurse is preparing to assess the posterior spine of a client. Which is the landmark the nurse will use to determine symmetry?
1. A. 2. B. 3. C. 4. D.
The nurse is instructing a client with cardiovascular disease about dietary modifications. Which statement made by the client indicates a need for further instruction?
1. I will eat plenty of meat and milk to get my iron and calcium. 2. I prefer baked or grilled dishes to fried foods. 3. I usually eat fruit for dessert. 4. I like fresh vegetables and whole grains.
On examining a newborn's eyes, which of the following would you expect to assess?
A) Follows your finger a full 180 degrees B) Has a white rather than a red reflex C) Follows a light to the midline D) Produces tears when he cries
Which statement by a patient with chronic heart failure indicates to the nurse that more teaching is needed?
A) "The disease will be marked by periods of exacerbations." B) "I will need to make lifestyle modifications to control the disease." C) "If I follow strict self-care, I can cure the disease." D) "Any type of stress can cause a worsening of the disease."