The nurse teaches a woman how to palpate the nipple during a breast self-exam. Which of the following is correct?
a. Compress the nipple between the thumb and forefinger.
b. Press the nipple against the rib cage.
c. Pull it upward and release it.
d. Roll it in a clockwise motion.
A
Examination of the nipples includes visual assessment of the nipples and assessment of nipple discharge by compressing the nipple between the thumb and forefinger.
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The parents of a child with acid-base imbalance ask the nurse about mechanisms that regulate acid-base balance. Which statement by the nurse accurately explains the mechanisms regulating acid-base balance in children?
a. The respiratory, renal, and chemical-buffering systems b. The kidneys balance acid; the lungs balance base c. The cardiovascular and integumentary systems d. The skin, kidney, and endocrine systems
Which client will most likely have increased anxiety and tension during labor?
a. Gravida 2 who refused any medication b. Gravida 2 who delivered a stillborn baby last year c. Gravida 1 who did not attend prepared childbirth classes d. Gravida 3 who has two children younger than 3 years
A patient has been self-medicating with diphenhydramine (Benadryl) to help her sleep. She calls the clinc nurse to ask, "Why do I feel so tired during the day after I take this pill? I get a good nights sleep!" Which statement by the nurse is correct?
a. "you are probably getting too much sleep" b. "you are taking too much of the drug." c. "this drug is not really meant to help people sleep." d. "this drug often causes a 'hangover effect' during the day after taking it"
A patient tried to gouge out his eye in response to auditory hallucinations commanding, "If thine eye offends thee, pluck it out." The nurse would analyze this behavior as indi-cating:
a. Derealization b. Inappropriate affect c. Impaired impulse control d. Inability to manage anger