The nurse instructs a client that a normal observation during breast self-examination (BSE) is
a. contour changes.
b. dimpling.
c. nipple deviation.
d. variation in breast size.
D
Breasts are symmetrical, although it is not unusual for one breast to be slightly larger than the other. Breast contour should be even without dimpling or deviation in nipple appearance.
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The nurse is caring for a patient who is taking amitriptyline for depression. What teaching will the nurse include in the teaching plan to help the patient monitor for adverse effects?
A) "If chest pain occurs an over-the-counter pain reliever will help." B) "Nasal congestion indicates a respiratory virus is beginning." C) "Measure and record your blood pressure daily." D) "Adverse effects will subside as you adjust to the medication."
The nurse is caring for a young adult male with a disability caused by a motor vehicle accident when he was an adolescent. Where does the nurse often provide care for patients like this young adult?
A) Rehabilitation facilities B) Step-down units C) Medical-surgical units D) Pediatric units
A mother of a 16-year-old boy states that her son is sleeping all the time. The nurse knows that at this age, an adolescent tends to increase in all of the following areas except:
1. Metabolism. 2. Rapid growth. 3. Staying up later at night. 4. Academic requirements.
The four levels of consciousness include all of the following except
a. Alert b. Comatose c. Semicomatose d. Lethargic