Which associated manifestation in a female with a chief complaint of a lump in the breast and discharge is most likely to be linked with breast cancer?
a. multiple soft, well-defined masses, and tenderness upon palpation
b. fever and breast swelling
c. bruising of the breast tissue and chest wall
d. dimpling of the skin
D
Dimpling, retractions, flattening, or other changes in breast contour are abnormal and may be suggestive of breast cancer. Masses that are soft, well defined, and tender indicate cysts. These are most common in women ages 30–50 and will diminish after menopause. Mastitis is an inflammatory condition of the breast that occurs most frequently in lactating women. It manifests as a local area that is swollen, painful, and erythematous and is usually caused by Staphylococcus aureus. Fever is usually present. Bruising of breast tissue and of the chest wall is usually caused by trauma.
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The value of SVO2 monitoring is to determine
a. oxygen saturation at the capillary level. b. an imbalance between oxygen supply and metabolic tissue demand. c. the diffusion of gases at the alveolar capillary membrane. d. the predicted cardiac output for acute pulmonary edema.
An occupational therapist (OT) is assessing an 80-year-old male client who is poised to return to his assisted living residence following a 14-day hospital stay with a diagnosis of bilateral pneumonia
As part of the OT's functional assessment, the client's activities of daily living (ADL) and instrumental activities of daily living (IADL) are being assessed. Which of the following assessment findings is most indicative of a deficit in ADL? A) The client is unable to clean the washroom in his residence adequately or safely. B) The client requires help with dressing himself in the morning. C) The client is unable to manage his medication regimen without his daughter's help. D) The client requires help climbing the stairs to his residence.
Which statement is true concerning telehealth?
1. Access to care may be delayed until the proper equipment can be delivered to the client's home. 2. Clients must travel to special on-site locations where equipment and telecommunication devices are available. 3. Nurse practitioner services may be reduced because physicians can assess and treat clients themselves. 4. Clients may stay within their own community to be assessed and treated, lowering potential costs.
An elderly patient who is being medicated for pain had an episode of incontinence. The nurse realizes that this patient is at risk for developing
1. dehydration. 2. over-hydration. 3. fecal incontinence. 4. a stroke.