A nurse is teaching an older adult client about breast self-examination. The nurse includes changes in the client's breasts due to aging. Which of the following would the nurse include?
A) Increase in glandular tissue
B) Increase in fatty tissue
C) Larger nipple area
D) Less granular in texture
B
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A patient has completed 4 weeks of treatment with epoetin alfa. Which of the following assessment findings would most strongly indicate that treatment has been effective?
A) The patient white blood cell level is within reference ranges B) The patient's hemoglobin level is 11 g/dL C) The patient maintains an oxygen saturation of 92% on room air D) Capillary refill in the patient's nail beds is less than or equal to 3 seconds
The nurse is providing care to a client who is experiencing constipation. The healthcare provider prescribes Metamucil, a bulk-forming laxative
Which is a nursing consideration when administering this medication to the client? A) Offering sufficient water B) Administering rectally C) Using to treat acute constipation D) Assessing for tardive dyskinesia
A client is prescribed 15 mg of flurazepam for sleep that could be repeated if the client were unable to sleep. At 0100, the client complains of inability to sleep. Should the night nurse give the client a second dose of flurazepam?
a. It is prescribed, so the nurse should administer it. b. Yes, after trying to determine why the client is unable to sleep. c. Probably no; she should wait until 4 a.m. to see if the client can sleep on his or her own. d. No, it is too late for a second dose.
When conducting a generalized assessment of a new patient, for what would the nurse inspect the neck?
A) Strain B) Vertebral injury C) Lymph node enlargement D) Limitations in movement