A client describes breast swelling and tenderness. What piece of data would be most important for the nurse to gather initially?
1. Timing of the symptoms
2. Birth control method
3. Method of breast self-examination
4. Diet history
1
Explanation: 1. The breast undergoes regular cyclical changes in response to hormonal stimulation. The nurse will want to determine when the swelling and tenderness occur within the menstrual cycle.
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A community health nurse has completed a community assessment. Which of the following would be next?
A) Decide on an intervention B) Locate an appropriate Healthy People 2010 goal C) Establish a community diagnosis D) Determine the level of prevention
Many workstations house clinical information systems and provide Internet access in the acute care setting. Which type of software program is most likely to be used by the health care staff providing direct patient care?
1. A programming language such as Java to access the Internet 2. A virus checker to increase security for Internet connections 3. A programming language such as COBOL to create databases 4. A programming language such as Visual Basic to enter data
A 66-year-old male was prescribed phenelzine (Nardil) while in an acute psychiatric unit for recalcitrant depression
The NP managing his primary health care needs to understand the following regarding phenelzine and other monoamine oxidase inhibitors (MAOIs): 1. He should not be prescribed any serotonergic drug such as sumatriptan (Imitrex) 2. MAOIs interact with many common foods, including yogurt, sour cream, and soy sauce 3. Symptoms of hypertensive crisis (headache, tachycardia, sweating) require immediate treatment 4. All of the above
The nurse is holding a class for newly pregnant couples, and discussing good and bad influences on their baby
Prenatal influences on the intrauterine environment include which of the following? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. The use of saunas or hot tubs 2. The use of drugs 3. The quality of the sperm or ovum 4. Maternal nutrition 5. Vitamins and folic acid