Based on the history, a nurse determines that the patient with which finding requires further assessment?
a. Occasional discharge from nipples
b. Supernumerary nipples along the milk line
c. Rash in the axillae associated with change in deodorant
d. Mild breast swelling that fluctuates with the menstrual cycle
ANS: A
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A client in an alcohol rehabilitation program tells the nurse "I have been such a loser all my life! I
feel so ashamed of what I put my family through! Now, here I am in a program and I am not even sure I can succeed at staying sober.". The nurse should consider the nursing diagnosis of a. chronic low self-esteem. b. powerlessness. c. ineffective health maintenance. d. risk for violence.
Care planning requires that a nurse recognize that the dynamic focus directing care of a patient with anorexia nervosa is:
a. managing weight gain. b. controlling personal stressors. c. minimizing dependency on food. d. expressing independence and autonomy.
The liver is important in drug action because it breaks down or inactivates many drugs. Patients with poor liver function can suffer a(n) ________ with some routinely administered drugs because their livers are unable to break down the drugs quickly.
Fill in the blank(s) with the appropriate word(s).
While caring for a 4-year-old boy with a broken arm and an infected laceration from a fall, the nurse notes an elevated heart rate. Which intervention would be least appropriate?
A) Administering antipyretics as ordered for fever B) Using a defibrillator to reduce the heart rate C) Administering analgesics to reduce pain D) Allowing the parents to comfort the child