A woman is asking about monthly breast self-examination (BSE). What information does the nurse provide to the client?
a. "It is a valuable tool for finding breast lumps early."
b. "After menopause, it is no longer useful."
c. "BSE should be combined with other as-sessments."
d. "Women in their 30s should begin monthly BSE."
C
BSE can be presented as an option for breast self-awareness. However, BSE is no better than awareness of normal breast findings. It is best when combined with clinical breast examinations and mammography. Women of all ages can practice BSE.
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The family of an older adult client is concerned about the changes in the client's behavior. The client used to be a wonderful cook but now cannot even remember how to use a blender. For which causes of impaired cognitive function should the nurse assess
Select all that apply. A) Obesity B) Nutritional deficiencies C) Medication reactions D) Stroke E) Snoring
The nurse knows that a baby born to a mother who had oligohydramnios could show signs of:
1. Respiratory difficulty. 2. Hypertension. 3. Heart murmur. 4. Decreased temperature.
Which of the following is an accurate step when removing an arterial or femoral line?
A) Withdraw the catheter using a forceful steady motion, keeping the catheter parallel to the blood vessel during withdrawal. B) Palpate for hematoma formation and, if hematoma forms, apply optimal pressure to the area to prevent further leakage of blood. C) Immediately after withdrawing the catheter, apply pressure 6 inches above the site with a sterile 4 × 4 gauze pad. D) Apply additional pressure to the dorsalis pedis site if the patient has coagulopathy or is receiving anticoagulants.
Which of the following is true of restraints?
A. They can be medications as well as belts or straps. B. They are used only to prevent patients from harming themselves or others. C. A nurse, a doctor, or a nursing assistant can decide to use them. D. Most residents in long-term care facilities need them.