During the breast examination, the nurse asks a female client to lean forward for the purpose of:
a. Accentuating the Montgomery's glands.
b. Observing for symmetry of the suspensory ligaments.
c. Comparing nipple symmetry.
d. Identifying any breast mass in the subcutaneous tissues.
ANS: B
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When an object is placed in the hand of a patient with neurologic impairment during assessment, the patient is unable to recognize the placement. This is termed tactile
a. homonymous hemianopsia. c. agnosia. b. aphasia d. apraxia.
Which assessment should indicate the necessity for a nurse to suction a patient with a tracheos-tomy?
a. Becomes restless and has increases in vital signs b. Has decreased peak airway pressure c. Shows diaphoresis d. Is coughing frothy mucus
The muscle(s) used in the ventrogluteal injection site is/are the:
a. vastus lateralis. c. gluteus maximus. b. gluteus minimus and medius. d. deltoid.
A client diagnosed with narcolepsy is prescribed ephedrine, and asks the nurse how this medication will improve the problem. The nurse's response will be based on which physiologic concept?
1. Ephedrine will prevent any attacks of epilepsy. 2. Ephedrine can be easily destroyed by the enzymes in the synaptic cleft. 3. Ephedrine can easily cross the blood–brain barrier. 4. Ephedrine cannot be easily absorbed through the intestinal tract.