The nurse is working at an ambulatory care clinic. A woman reports with complaints of discovering a lump in her breast. When considering the likelihood the mass is malignant, which characteristic is most indicative of breast cancer?
1. The borders of the mass are uneven.
2. The client reports tenderness with palpation.
3. The mass is readily moved beneath the skin.
4. The skin over the mass is smooth.
The borders of the mass are uneven.
Rationale: Malignant masses typically present with uneven borders. The characteristics of a benign mass include tenderness with palpation, ease in mobility of mass, and smooth, unaffected skin over the mass.
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Students are observing a staff nurse who is empathic with the child undergoing chemotherapy. The students observe the nurse interplaying the internalized feelings of the child and the child's experiences or fantasies
The students recognize that the nurse, while fully absorbed in the identity of the child, still identifies himself as a separate personality. The student who correctly understands empathy recognizes the phase of empathy as: 1. Detachment. 2. Identification. 3. Reverberation. 4. Incorporation.
Which of the following conditions may predispose a patient to develop a fungal infection? Select all that apply
a. Newborn b. Presence of a malignancy c. Presence of leukemia d. Treatment with psychotropic medications e. Presence of human immunodeficiency virus (HIV) infection f. Pregnancy g. Diabetes mellitus
When assessing a newborn 1 hour after birth, the nurse measures an axillary temperature of 95.8° F, an apical pulse of 114 beats/minute, and a respiratory rate of 60 breaths/minute. Which nursing diagnosis takes highest priority?
A) Hypothermia related to heat loss during birthing process B) Impaired parenting related to addition of new family member C) Risk for deficient fluid volume related to insensible fluid loss D) Risk for infection related to transition to extrauterine environment
The absolute refractory period begins with the onset of the _____ and terminates _____
a. P wave; with the end of the QRS complex b. QRS complex; at approximately the apex of the T wave c. QRS complex; with the end of the T wave d. P wave; with the beginning of the QRS complex