During an examination of a woman, the nurse notices that her left breast is slightly larger than her right breast. Which of these statements is true about this finding?
a. Breasts should always be symmetric.
b. Asymmetry of breast size and shape is probably due to breastfeeding and is nothing to worry about.
c. Asymmetry is not unusual, but the nurse should verify that this change is not new.
d. Asymmetry of breast size and shape is very unusual and means she may have an inflammation or growth.
ANS: C
The nurse should notice symmetry of size and shape. It is common to have a slight asymmetry in size; often the left breast is slightly larger than the right. A sudden increase in the size of one breast signifies inflammation or new growth.
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The patient's fasting blood glucose is 110 mg/dL. Nursing implications for the finding include
A) assessing a 2-hour postprandial blood sugar for further evaluation. B) assessing the patient for signs and symptoms of hypoglycemia. C) nothing; it is a normal blood sugar. D) administering 50 cc of concentrated juice.
Which of the following drugs is used for benign prostatic hypertrophy (BPH) and has the great-est potential for causing orthostatic hypotension?
a. Alfuzosin b. Tamsulosin c. Doxazosin d. Prazosin
The nurse has completed a health assessment, physical examination, and interview with a patient
Which assessment data would support a diagnosis of reactive arthritis? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. The conjunctiva of the right eye is reddened, with a thin, watery drainage. 2. The patient reports increased urine output. 3. The patient reports having "food poisoning" 12 days ago. 4. The patient reports pain in both knees. 5. The patient's right ankle is swollen only on the medial side.
The oxygen saturation on a client with acute infective bronchitis drops to 84%, and he develops severe dyspnea
There is a standing order for a handheld nebulizer (HHN) treatment PRN for shortness of breath, and respiratory therapy is designated to give all respiratory treatments in the facility. When the nurse calls the respiratory therapist, he states that he has several more treat-ments to give and should be there in 10 or 15 minutes. Select the action by the nurse that would be most appropriate at this time. a. Increase the flow rate of the client's oxy-gen until the respiratory therapist can ar-rive. b. Call the respiratory therapist back and in-sist that he come NOW. c. Go ahead and give the HHN treatment by herself. d. Give the client a prescribed PRN sedative to reduce anxiety.