The nurse is discussing self-breast examinations with a 20-year-old client. Which of the following statements by the client indicates the need for further education?
1. "I should examine my breasts on the first day of my menstrual period.".
2. "The fact that I have breast implants does not negate my need to perform a monthly self-breast examination.".
3. "Lying down will help me to feel all of my breast tissue.".
4. "A firm ridge in the lower curve of my breast is normal.".
"I should examine my breasts on the first day of my menstrual period.".
Rationale: The breast examination should be performed between days 4 and 7 of the menstrual period. The date is best when kept consistent. On day 1 of the menstrual period, the breasts may be tender or swollen. The remaining statements are correct.
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Diagnostic testing has revealed a deficiency in the function of a patient's complement system. This patient is likely to have an impaired ability to do which of the following?
A) Protecting the body against viral infection B) Marking the parameters of the immune response C) Bridging natural and acquired immunity D) Collecting immune complexes during inflammation
A patient receiving tube feedings is experiencing diarrhea. The nurse and the physician suspect that the patient is experiencing dumping syndrome. What intervention is most appropriate?
A) Stop the tube feed and aspirate stomach contents. B) Increase the hourly feed rate so it finishes earlier. C) Dilute the concentration of the feeding solution. D) Administer fluid replacement by IV.
After the fertilized ovum is implanted, the corpus luteum is maintained by the presence of which hormone(s)?
a. estrogen and progesterone c. human chorionic gonadotropin b. follicle-stimulating hormone d. luteinizing hormone
County Hospital has position descriptions for all staff, including RN Team Leaders. Sarah, a team leader on the rehab unit, assesses the needs of the patients in her area, assesses the skills and backgrounds of each of the individuals on her team,
and then assigns and delegates the appropriate care provider to each patient and task. Sarah provides Colleen, her RN colleague with details regarding the patients to whom Colleen has been assigned on the day shift. This is an example of: a. Accountability. b. Responsibility. c. Assignment. d. Delegation.