A breastfeeding mother who was discharged yesterday calls to ask about a tender hard area on her right breast. The nurse's first response should be:
a. "Try massaging the area and apply heat; it is probably a plugged duct."
b. "Stop breastfeeding because you probably have an infection."
c. "Notify your doctor so he can start you on antibiotics."
d. "This is a normal response in breastfeeding mothers."
A
A plugged lactiferous duct results in localized edema, tenderness, and a palpable hard area. Massage of the area followed by heat will cause the duct to open.
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The nurse is caring for a patient who underwent pituitary surgery 12 hours ago. The nurse will give priority to monitoring the patient carefully for which of the following?
a. Congestive heart failure b. Hypovolemic shock c. Infection d. Volume overload
A 32-year-old client who has a history of familial polyposis but no manifestations still wants to explore the possibility of preventive surgery. The most appropriate response the nurse can make is
a. "Cancer is not always hereditary, and you should change risk factors in your life." b. "It is an overreaction to seek radical treatment before you develop symptoms." c. "Monthly rectal smears may allay your anxiety without surgery." d. "Subtotal colectomy is a procedure you might seek further information about."
Which of the following is not considered a risk factor for men contracting an STD?
A) Multiple lifetime sexual partners B) Smoking C) Intravenous (IV) drug use D) Unprotected sex with prostitutes
The practical/vocational nursing student tells a colleague, "I know I'm going to fail the NCLEX-PN examination. I've heard that a huge amount of the examination is psychology related, and I hated psychology!"
The reply that shows the best understanding of the NCLEX-PN examination is a. "You'd better retake the psychology course." b. "There are equal numbers of questions related to each aspect of patient needs." c. "Psychosocial integrity is the basis for 8% to 14% of the questions." d. "I've heard there's more emphasis on care planning than anything else."