A nurse is performing a breast examination of a client who complains of pain in both breasts that occurs around the time of her menstrual period. The nurse expects which findings during the breast examination?
a. Masses in the breasts that are round, soft, mobile and well-delineated
b. Masses in the breasts that are round, firm, mobile, and well-delineated
c. Masses in the breasts that are irregular, hard, and fixed
d. Breast tissue that is red, edematous, tender, and warm to the touch
ANS: A
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Of the following statements, which is the most correct about pain in the older adult?
A) Significant undertreated pain is a frequent problem for persons in nursing homes but not for those living in the community. B) Significant pain does not significantly affect vital signs in older adults. C) The most accurate ways to assess pain in verbal clients include client description and self-report. D) Acute pain should be alleviated completely before the source of pain is identified.
Select the action by the nurse that best helps promote the adaptation of a client in Addisonian crisis
a. Assign the client to a private room. b. Cover the client with one or two extra blankets to keep him warm. c. Ambulate the client four times per day to maintain exercise tolerance. d. Encourage the client to take a shower in-stead of a bed bath.
For most people, undergoing surgery is an extremely stressful experience. Which of the following is a psychological concern of patients before or after surgery?
A. Fear of pain or disfigurement B. Worry about length and cost of recovery C. Fear of losing control of their lives D. All of these
During initial assessment of mental health status, the nurse asks a patient to interpret a familiar proverb and explain what it means. Which area/aspect of the patient's mental status is the nurse assessing?
a. Memory b. Judgment c. Mood and affect d. Level of awareness and orientation