A woman who is 2 weeks postpartum calls the clinic and says, "My left breast feels painful." After further assessment on the phone, the nurse suspects the woman has mastitis. In addition to pain, the nurse would assess for:
A) an inverted nipple on the affected breast
B) no breast milk in the affected breast
C) an ecchymotic area on the affected breast
D) hardening of an area in the affected breast
D
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The nurse is performing a medical history and physical assessment on an older client. Which common findings in the older client are related to the musculoskeletal system? (Select all that apply.)
a. Decrease in bone density b. Decrease in falls due to lack of activity c. Atrophy of the muscle tissue d. Decrease in bone prominence e. Degeneration of cartilage f. Reduced range of motion of the joints
The woman's family members are present when the nurse arrives for a postpartum and newborn visit. What should the nurse do?
1. Observe interactions of family members with the newborn and one another. 2. Ask the woman to meet with her and the baby alone. 3. Do a brief assessment on all family members present. 4. Reschedule the visit for another time so that the mother and infant can be as-sessed privately.
When caring for a patient who is unconscious, the nurse should
a. work in silence b. avoid overstimulation and touching the patient c. speak to the patient when performing procedures d. discourage family chatter at the bedside
Which remark by a client would suggest that the treatment plan for a client with AIDS has been successful in promoting decisional control?
1. "I recognize that what I've lost, I will never be able to regain." 2. "I've learned enough about my disease to be able to make informed decisions." 3. "I'll be happy when my suffering comes to an end and I can join my partner." 4. "I see no advantage in antiviral therapy. The side effects are worse than the symptoms of AIDS."