A patient is recovering from breast cancer surgery that included axillary node dissection. The nurse realizes that this patient will need education regarding which potential complication of axillary node dissection?
1. Lymphedema
2. Metastasis
3. Bleeding from the incision site
4. Altered neck movement
1
Rationale 1: Lymphedema is a common complication of axillary node dissection.
Rationale 2: The lymph nodes are removed to reduce the risk of metastasis.
Rationale 3: There is no greater risk of bleeding from the incision site than there would be from any other surgery.
Rationale 4: Removal of the axillary lymph nodes should not adversely affect neck movement.
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The mother of a teen is concerned that her daughter's nutritional status is compromised since the daughter has an increased interest in losing weight, weighs herself several times each day, and at times ingests large amounts of food
The daughter has not lost or gained much weight, but the mother wonders if her daughter has anorexia nervosa. How should the nurse respond to this mother? 1. These are behaviors consistent with bulimia nervosa. 2. These are behaviors consistent with early-onset anorexia nervosa. 3. These are behaviors consistent with binge-eating disorder. 4. These are behaviors consistent with a metabolic disorder.
The nurse is finishing an admission assessment for Mrs. M who was admitted during a previous shift
While doing the medical psychosocial history, the following facts come to light: Two years ago, she was treated for a major depressive episode; she practices Islam; she lives in the area of town where there are many Muslim people; and she comes from a wealthy family. Her hair is visibly dry and dull, and she mentions that her hand grip has gotten weaker over the last few months. Because of the findings during this assessment, the nurse decides to refer her to the dietitian for a nutrition assessment. What in the medical psychosocial assessment might lead to a nutritional deficiency? A) The culture she lives in B) It is Ramadan, and Mrs. M practices Islam. C) Her hair is dry and dull. D) She has had a major depressive episode.
During pregnancy, an additional sound heard during auscultation of the heart may be:
A) A mammary soufflé. B) Friction rub. C) Venous hum. D) S4 gallop.
Fertilization takes place when the sperm unites with the ovum
True False