The nurse asks the patient to sit with the arms at both sides when beginning the clinical breast examination. With this position, the nurse will assess: (Select all that apply.)
A) Appearance of the skin
B) Size and symmetry of the breasts
C) Characteristics of the nipples
D) Lateral portion of the breast
E) Contour of the breasts
A, B, C, E
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The RN working on an orthopedic unit has a postoperative client with a hip replacement who is not transferring well from bed to chair and has fallen behind on the mobility training program. Which is the nurse?s priority action?
1. Page the surgeon. 2. Contact the family to discuss pre-op mobility problems. 3. Instruct physical therapy to increase treatments to QID. 4. Inform the case manager of variance in critical pathway.
A 3-year-old child is being discharged home after a tonsillectomy. In addition to specific information about the child's postoperative care, which of these aspects should the nurse include in the child's discharge plan?
a. Tell the caregivers that they may notice changes in toileting patterns. b. Explain to the caregivers that the child may develop behavioral changes such as regression. c. Review caregiver dynamics to be sure the child will be safe. d. Recap the child's hospitalization experience, including details of the surgery performed.
A patient is brought by friends to the ED after being involved in a motor vehicle accident. The patient sustained blunt trauma to the abdomen. What nursing action would be most appropriate for this patient?
A) Ambulate the patient to expel flatus. B) Place the patient in a high Fowler's position. C) Immobilize the patient on a backboard. D) Place the patient in a left lateral position.
A patient has been advised to use an over-the-counter acne product that contains benzoyl peroxide and salicylic acid. The nurse prioritizes which information in patient teaching?
1. "Test this product on a small area of skin for 3 days before applying to your face." 2. "Many people find this medication makes their acne worse." 3. "Some serious allergic reactions have occurred when using this medication." 4. "Gently wash your face before applying this product." 5. "Do not take aspirin while using this product."