The patient's medication has a side effect of gynecomastia. The nurse would respond that gyne-comastia is:
a. lack of breast development in women.
b. overdevelopment of breast tissue in males.
c. a type of breast cancer.
d. inflammation of the mammary glands.
ANS: B
Gynecomastia is overdevelopment of breast tissues in males. It is not a lack of breast develop-ment. It is not a type of breast cancer nor is it associated with inflammation of the mammary glands.
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The nurse is evaluating the developmental skills of an eight-month-old child recently adopted from a foreign country. The nurse attempts to get the child to wave "bye-bye" and to play "patty-cake
" When the child is unable to perform either skill, the nurse should: 1. Document developmental delay on the child's record. 2. Refer the child for an electroencephalogram. 3. Encourage the parents to seek medical attention for the child's developmental delay. 4. Recognize that this child's language skills and previous experience may not allow for these activities at this time.
The nurse is teaching the parents of a 2-year-old how to change the child's dressing after discharge. The child looks at the nurse and asks, "What can I do?" The nurse's best response is:
1. "You can lie very still to make changing the dressing easier for your Mom." 2. "You can apply the tape to hold the dressing in place." 3. "You don't need to do anything, sweetie, because you're the patient." 4. "You can gather two packages of dressings for your Mom and get the tape."
Which factors could influence respiratory rate measurement? Select all that apply
1. Age 2. Exercise 3. Fever 4. Medications 5. Rapid heart rate
The nurse is working on establishing a balance strategy training program (BSTP) for patients in a long-term care facility. Which of the following should she expect? (Select all that apply.)
a. The patients will have an increase in func-tional ability. b. The fall rate will decrease. c. The BSTP activities include tossing small bean bags. d. The patients will have weekly sessions to practice activities. e. The activities require a lot of work to in-tegrate into the daily resident program. f. Patients will become more independent.