The nurse is caring for a woman who has a cyst in her breast that was found at her recent mammogram. The physician wants to make sure that the cyst is not malignant. Which test will be used to determine this?
a. Needle aspiration with biopsy
b. Paracentesis
c. Thoracentesis
d. Fiberoptic endoscopy
ANS: A
Needle aspiration with biopsy allows the physician to take a small sample of cells to determine if they are malignant or benign. Paracentesis is drainage of fluid from the abdomen, and thoracentesis is drainage of fluid from the pleural cavity. Fiberoptic endoscopy allows the physician to see inside the upper and/or lower GI tract.
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The nurse is caring for a patient receiving hemodialysis treatments. The patient has had surgery to form an arteriovenous fistula. What is most important for the nurse to be aware of when providing care for this patient?
A) Using a stethoscope for auscultating the fistula is contraindicated. B) The patient feels best immediately after the dialysis treatment. C) Taking a blood pressure reading on the affected arm can cause clotting of the fistula. D) The patient shouldn't feel pain during initiation of dialysis.
During the cardiac assessment of a client, the nurse hears a loud rumbling during diastole that increases toward the end of the sound. This sound is heard with the bell of the stethoscope over the lower left sternal border. The nurse would suspect which of the following in this client?
1. Aortic stenosis 2. Tricuspid stenosis 3. Mitral regurgitation 4. Pulmonic stenosis
A nurse is conducting community education classes on skin cancer. One participant says to the nurse: "I have read there are now vaccines to protect you from getting a melanoma." The nurse's most helpful response would be
a. "No, there is no vaccination for melanoma." b. "The vaccines were so ineffective they were withdrawn." c. "Vaccines are being developed against melanoma." d. "Yes the vaccine is available, but it is very expensive."
A patient is extremely agitated and presents a danger to others. The resident orders 5 mg haloperidol IM to be administered immediately in order to calm the patient. What kind of order is this?
1. PRN 2. STAT 3. Single order 4. Standing order