A client who has discovered a lump in her breast becomes tearful when scheduling a mammo-gram. Which is the nurse's best response?
a. "All lumps are considered cancerous until proven otherwise."
b. "Unless you have a relative with breast cancer, this lump is probably benign."
c. "Diagnosing cancer at this early stage is most likely to result in a cure."
d. "Many women have breast lumps, and most of the lumps are benign."
D
The finding of a breast lump or mass is a frightening experience. Clients should be reassured, until they can be seen or testing is done, that 90% of all breast lumps or masses are benign. It is inaccurate for the nurse to state that all lumps are considered cancerous until proven benign, or that the lump is probably benign unless the client has a relative with breast cancer. Diagnosing cancer at an early stage results in cure more often than when the cancer is in later stages, but such a comment before diagnosis will only scare the client more.
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The nurse is helping the family of an adolescent understand why their child has been diagnosed with schizophrenia. Which risk factor in the client's history supports the current diagnosis?
A) Association with psychotic clients B) Smoking C) Genetic predisposition D) Allergy to shellfish
The nurse is helping a new mother who is learning to breastfeed her newborn. The nurse shows her how to hold the infant and touch the corner of the infant's mouth, which causes the infant to turn toward the stimulated side
The nurse tells the mother that this response is called: A. Moro's reflex. B. the tonic neck reflex. C. the rooting reflex. D. the sucking reflex.
A nurse does not assist with ambulation for a postoperative client on the first day after surgery. The client falls and fractures a hip. What charge might be brought against the nurse?
A) Assault B) Battery C) Fraud D) Negligence
What should the nurse teach a mother who is going to bottle-feed her newborn to prevent baby bottle syndrome? (Select all that apply.)
A) Avoid giving the baby a bottle when in the crib B) Add rice cereal to the formula before feeding the infant C) Dilute the formula with water before providing a feeding D) Do not permit the child at toddlerhood to carry a bottle around E) Avoid giving the baby a bottle at bedtime to suck through the night