The nurse is preparing a poster on self-breast examination and is labeling the anatomical structures of the breast. Which location will the nurse use to identify the tail of Spence?
1. A.
2. B.
3. C.
4. D.
Correct Answer: 2
The tail of Spence, also called the axillary tail, is the portion of breast tissue that expends superiolaterally into the axilla.
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A nurse is admitting a patient with a severe migraine headache and a history of acute coronary syndrome. What migraine medication would the nurse question for this patient?
A) Rizatriptan (Maxalt) B) Naratriptan (Amerge) C) Sumatriptan succinate (Imitrex) D) Zolmitriptan (Zomig)
The nurse is reviewing the phases of the human sexual response to a group of young adults. The resolution phase:
a. occurs when the person becomes comfortable with their own feelings about gender identity. b. begins with sexual stimulation. c. is characterized by a building of excitement. d. is characterized by a gradual return to the pre-excitement phase.
After an hour of oxytocin therapy, a patient in labor experiences headache and vomiting. What should the nurse do?
A) Assess the vagina for full dilation. B) Notify the physician and stop the infusion. C) Instruct the patient to breathe in and out rapidly. D) Administer oral orange juice for added potassium.
The nurse is assessing a client in the intensive care unit who is asleep. What physiological changes will the nurse observe in this client?
1. Lower respiratory rate. 2. Increased muscle tension. 3. Increased lower-extremity edema. 4. Lower blood pressure. 5. Lower heart rate.