The nurse notes from the physician's charting concern that the patient may have a malignant tumor in the breast. Based upon assessment data, the mass when palpated is:
A) Nontender
B) A regular shape
C) A soft and regular shape
D) Mobile tissue
Ans: A
Feedback: A malignant breast tumor usually occurs as a single mass in one breast; it is usually not tender; has an irregular shape, and is firm, hard, and embedded in surrounding tissue (not easily mobile).
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Stress, according to Hans Selye, is best described in the general adaptation syndrome (GAS) and includes three stages. Which one is NOT included in the three stages?
A) Alarm B) Acceptance C) Resistance D) Exhaustion
A patient who has received a heart transplant is taking cyclosporine, an immunosuppressant. What self-care intervention is most important to teach to the patient?
A) Administer pain medications and be aware of respiratory depression. B) Provide frequent rest periods to build endurance. C) If the patient misses a dose of medication take two doses. D) Frequent handwashing is needed to protect from infection.
Which of the following nursing statements has the greatest therapeutic value when counseling a ‘sandwich generation' client caring for a chronically ill parent?
1. "I can help you in finding assistance with the in-home care." 2. "What is the most stressful aspect of caring for your parent?" 3. "I'm sure your children love having grandmother in the house." 4. "What do you do for relaxation now that your mom lives with you?"
The nurse serves as an educator of other healthcare personnel. In what capacity will this nurse participate in education?
1. Preceptor of new graduate nurses. 2. Instructing a part of the critical care course. 3. Clinical instruction of nursing students. 4. One-to-one teaching of clients. 5. Teaching grandparents how to care for children.