When a female client is asked if she has noticed any lumps or swelling in her breasts, she responds, "Yes." Which question would be most appropriate to ask next?
A) "Is any pain associated with the lump?"
B) "Has there been any change in breast size?"
C) "Does the lump change during your menstrual cycle?"
D) "Is there any nipple discharge?"
C
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The nurse has received a diagnostic test report over the telephone and is updating the client's medical records on the computer with these results. What care should the nurse take when doing so?
1 . Care should be taken to make sure the medical record can be pulled up and shared with the client and family members visiting the client. 2 . Care must be taken not to share verbal and written communications regarding the client with unauthorized individuals. 3 . The primary care provider should take accountability to maintain the confidentiality of the client's medical record. 4 . Care should be taken not to pull client information onto the computer screen when other clients can see it. A) 1, 2 B) 1, 3 C) 2, 4 D) 3, 4
A nurse developed the following discharge summary sheet. Which critical information should the nurse add?
TOPIC DISCHARGE SUMMARY Medication Diet Activity level Follow-up care Wound care Phone numbers When to call the doctor Time of discharge a. Clinical decision support system b. Admission nursing history c. Mode of transportation d. SOAP notes
The nurse is caring for a client who is prescribed biologic response modifiers to boost the immune response for renal cell carcinoma. Which medication does the nurse expect to find on the medication administration record (MAR)?
1. Aldesleukin (Proleukin) 2. Anakinra (Kineret) 3. Azathioprine (Azasan) 4. Basiliximab (Simulect)
Falls are a major health problem in the elderly population and occur from multifactorial causes. What is a factor in the rate of falls in the elderly population? (Mark all that apply.)
A) Medication effects B) Overdependence on assistive devices C) Poor lighting D) Sensory impairment E) Ineffective use of coping strategies