Which assessment finding in a 36-year-old patient is most indicative of a need for further evaluation?
a. Bilateral breast nodules that are tender with palpation
b. A breast nodule that is 1 cm in size, nontender, and fixed
c. A breast lump that increases in size before the menstrual period
d. A breast lump that is small, mobile, with a rubbery consistency
ANS: B
Painless and fixed lumps suggest breast cancer. The other findings are more suggestive of benign processes such as fibrocystic breasts and fibroadenoma.
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Patient and family participation in discharge planning of home care are encouraged. The purpose of discharge planning is to promote continuity of care and begins:
a. a week before discharge. b. two days before discharge. c. the day of discharge. d. on admission.
A prescriber has ordered cefoxitin for a patient who has an infection caused by a gram-negative bacteria
The nurse taking the medication history learns that the patient experienced a maculopapular rash when taking amoxicillin (Amoxil) several years earlier. What will the nurse do? a. Administer the cefoxitin and observe for any side effects. b. Give the cefoxitin and have epinephrine and respiratory support available. c. Request an order for a different, nonpenicillin, noncephalosporin antibiotic. d. Request an order to administer a skin test before giving the cefoxitin.
When awakening the patient, you should
A) call the patient's name from the door. B) shake the patient gently by the shoulder. C) place your hand on the patient's arm and say his name. D) grab the patient's foot and gently turn it side to side.
Which of the following statements is true of the effects of sympathetic stimulation on the body?
A. It increases the rate of atrioventricular conduction. B. It stimulates the urinary bladder to contract. C. It causes the pupils of the eyes to constrict. D. It decreases the rate at which the heart contracts and relaxes.