The nurse is instructing a female client about breast self-examination. Which of the following instructions would not be correct for the nurse to provide?
1. "A menstruating woman should check her breast monthly 8 days following her menses."
2. "An inverted nipple is not a cause for alarm."
3. "During menopause, you should check your breasts once a month during the same time frame."
4. "Visually check the breasts in front of a mirror."
2
An inverted nipple is not necessarily a cause for alarm if it has been present since puberty, but any change in the nipple or breast tissue should be evaluated. The other instructions would be appropriate for the nurse to provide.
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As part of the comprehensive admission assessment, the nurse talks with family and friends who may contribute additional data to a client's psychiatric history
When reviewing the data obtained from these sources, the nurse keeps in mind which of the following perspectives of the data? The information provided: 1. Will vary according to the source's relationship to the client. 2. Comes from each individual's perspective. 3. Is considered false. 4. Is considered accurate.
Which symptom in a client who is using oral contraceptives should be reported to the physician immediately?
a. Decrease in menstrual flow b. 5-lb weight gain c. Leg pain and edema d. Increased pigmentation of the face
The nurse is having difficulty with developing appropriate nursing diagnoses for a client's care. Which of the following could explain why this nurse is having difficulty?
a. Diagnosing is for the physician to do. c. Other nurses think it is a waste of time. b. The client has too many health issues. d. The nurse cannot find the diagnostic label appropriate for the client's needs.
On assessing the laboratory data of an older adult patient, the nurse notes the serum potassium level is 5.3 mEq/L. Based on this information, the nurse
a. asks if the patient has been using a non-steroidal antiinflammatory drug (NSAID). b. determines if the patient is receiving a di-uretic that promotes potassium loss. c. suggests several potassium-rich foods to supplement dietary potassium intake. d. monitors the patient's urinary output for possible fluid retention.