In reviewing the charts of several clients in the clinic, a nurse recognizes which client as being at highest risk of breast cancer?
a. A woman who had her first child at age 26
b. A woman who reached menopause at age 58
c. A woman who breastfed all four of her children
d. A woman who states that she reached menarche at age 14
ANS: B
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A patient who has just been diagnosed with type 2 diabetes asks, "Is it okay for me to have an occasional glass of beer?" What is the nurse's best advice?
1. "I'm so sorry but you should not drink any alcohol.". 2. "As long as you are not drinking to excess, beer will have no effect on your blood glucose.". 3. "An occasional beer is fine as long as you eat something while you are drinking it.". 4. "You can drink a beer if you eliminate other foods from your diet that day.".
The patient has eyedrops ordered daily to both eyes. Which action by the nurse is appropriate when administering the medication?
a. Carefully place the drop on the cornea. b. Wipe the eye with a tissue after placing the eyedrop. c. Hold the eyedropper about 1 to 2 cm above the eye. d. Instruct the patient to squeeze the eye shut after instillation.
A nurse manager is making nurse assignments for care of clients who have just received thrombolytic therapy. The nurse specifically tells a new nurse, "Be certain to hold pressure on any puncture sites for at least ____ minutes."
Standard Text: Record your answer using a whole number. Fill in the blank with the appropriate word.
The nurse is preparing a care plan for a client with insomnia. Which would be an appropriate outcome criteria for the goal of having the client report fewer problems falling asleep?
A) The client will fall asleep faster. B) The client will report a decrease in sleep latency to 10 to 15 minutes within 30 days. C) The nurse will administer the client's hypnotic at bedtime each night. D) The nurse will give the client a backrub at bedtime each night.