The nurse is teaching a childbirth education class. The nurse would be correct in stating that which of the following commonly leaks from the nipples during the last month of pregnancy?
1. Blood
2. Milk
3. Serum
4. Colostrum
4
Rationale 1: It is not normal for blood to be discharged from the nipples. This is often a sign of cancer of the breast.
Rationale 2: Milk is not discharged from the breast until lactation following delivery occurs.
Rationale 3: Serous discharge may be a symptom of benign breast disease or cancer of the breast. Discharge from the nipples may be clear, straw colored, milky, or green with benign breast disease, and discharge may be clear or bloody with cancer of the breast.
Rationale 4: Colostrum is a form of milk produced by the mammary glands toward the end of pregnancy, and it is normal for some to leak from the nipples. It appears as a thick yellow discharge.
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A patient tells the nurse that he had chest pain into his left arm while moving a heavy trash can that lasted for about 10 seconds and stopped when he put the trash can down. This information would be included in which aspects of the PQRST assessment for chest pain?
1. P 2. Q 3. R 4. S 5. T
The Joint Commission restricts the use of restraints to the least restrictive device necessary to prevent disruption of needed care. The order for restraints must include which of the following? (Select all that apply.)
a. Type b. Duration c. Purpose d. Location e. Size
Which of the following strategies might be effective in empowering staff?
a. Communication book in which new information on policies and processes is communicated and mistakes are highlighted. b. Monthly staff meetings during which a portion of the agenda is devoted to sharing ideas and presentations on best practices for implementation on the unit. c. Once-yearly summative evaluations based on what the manager best likes about the individual. d. Focus on discussion of errors in care with direction as to how errors are to be prevented in the future.
Discoloration (blue, gray, or purple) of the skin or mucous membranes due to lack of oxygen in the blood is called ______
1. Petechiae 2. Contusions 3. Cyanosis 4. Purpura