During the examination of a female client's breasts, the nurse determines that which of the following assessment findings would be normal?
1. Nipple discharge
2. Masses
3. Scaling
4. Symmetrical nipples
4
Symmetrical nipples would be considered a normal finding. All the other options are abnormal findings.
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A nurse is preparing to teach a patient about care at home. On entering the room, she finds the patient pacing around the room, hyperventilating, and complaining of nausea. Based on these manifestations of severe anxiety, what would the nurse do?
A) Provide both verbal and written information to the patient. B) Ignore the patient and teach the family the information. C) Modify the teaching plan to the patient's anxiety level. D) Postpone implementation of the teaching plan.
A patient underwent psychotherapy weekly for 3 years. The therapist used free association, dream analysis, and facilitated transference to help the patient understand unconscious processes and foster personality changes. Which type of therapy was used?
a. Short-term dynamic psychotherapy b. Transactional analysis c. Cognitive therapy d. Psychoanalysis
When assessing a client recently prescribed pentoxifylline (Trental), which medication will alert the nurse to monitor closely for adverse effects?
a. Antilipemic b. Antihypertensive c. Antibiotic d. Antipsychotic
When using intermittent auscultation (IA) to assess uterine activity, the nurse should be cognizant that:
a. The examiner's hand should be placed over the fundus before, during, and after contractions. b. The frequency and duration of contractions is measured in seconds for consistency. c. Contraction intensity is given a judgment number of 1 to 7 by the nurse and client together. d. The resting tone between contractions is described as either placid or turbulent.