During a routine breast examination of a client, the nurse notes a small amount of nipple discharge. The nurse would: Select all that apply
1. Collect a specimen on slide.
2. Document the finding.
3. Ask the client if this has occurred before.
4. Send the specimen to the lab.
5. Tell the client she may have cancer.
1. Collect a specimen on slide.
2. Document the finding.
3. Ask the client if this has occurred before.
4. Send the specimen to the lab.
Rationale: Collect a specimen on slide. The drainage should be collected on a specimen slide. Document the finding. The nurse would document the finding so that future comparisons can be made if the drainage would continue. Ask the client if this has occurred before. The nurse would question if this has occurred before and when the drainage began. Send the specimen to the lab. The nipple drainage would be sent to the lab for analysis. Tell the client she may have cancer. Telling the client she has cancer is inappropriate; discharge does not always indicate a sign of cancer.
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A) Reactive respondent B) Key informant C) Nay-sayer D) Yea-sayer
A nursing student is skeptical about the concept of professional ethics even being possible, much less a requirement for professional practice. Which statement by this student best justifies this belief?
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Indicate whether the statement is true or false
When using intermittent auscultation (IA) for fetal heart rate, nurses should be aware that:
a. They can be expected to cover only two or three clients when IA is the primary method of fetal assessment. b. The best course is to use the descriptive terms associated with electronic fetal monitoring (EFM) when documenting results. c. If the heartbeat cannot be found immediately, a shift must be made to EFM. d. Ultrasound can be used to find the fetal heartbeat and reassure the mother if initial difficulty was a factor.