To assess the breast for discharge and protraction of the nipple, you would place

a. the fingertips of both hands on each side of the breast and press gently.
b. one hand under the breast for support and gently press with the fingers of your other hand from the outer edge of the areola toward the nipple.
c. your thumb and forefinger on the areola and press inward.
d. your thumb and forefinger on the nipple and gently squeeze.


C
Assess the shape of each nipple by putting your thumb and index finger on the areola and pressing inward to express any discharge. Note whether the nipple protracts (becomes erect) or retracts (inverts). Nipples normally protract when stimulated.

Nursing

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A patient states, "I have been trying to lose weight. I am not hungry at breakfast, so I wait until lunch to eat. I have a small lunch and then use most of my calorie allotment for dinner. Lately, I have noticed that my mood has been off

I seem to be more anxious, and my mood is lower.". Which response would be most appropriate? a. "As long as you are getting the nutrients you need, when you eat should not be affecting your mood.". b. "Perhaps you should divide your calories evenly between lunch and dinner. If your blood sugar is low, it could be responsible for feeling nervous.". c. "Eating breakfast is important. It improves mood, energy, and feelings of calm. Eating some of your calories in the morning might help your mood.". d. "You might want to talk with your doctor about using of kava kava for your depression.".

Nursing

The nurse is reviewing factors that affect the health of a population. Which factors should the nurse identify as being sociocultural determinants? (Select all that apply.)

1. Language. 2. Annual birth rate. 3. Family composition. 4. Population density. 5. Transportation accessibility.

Nursing

A medication, simvastatin (Zocor), is administered to lower a patient's cholesterol level. Follow-up lipid levels are reviewed by the nurse. Which level indicates the desired therapeutic range?

a. High-density lipoprotein (HDL), 29 mg/dL; low-density lipoprotein (LDL), 160 mg/dL b. HDL, 38 mg/dL; LDL, 120 mg/dL c. HDL, 56 mg/dL; LDL, 106 mg/dL d. HDL, 42 mg/dL; LDL, 98 mg/dL

Nursing

The Health Information Management Systems Society (HIMSS) developed an EMR adoption model that includes eight stages toward creating a paperless patient record environment

All application capabilities within each stage must be operational before the next stage can be achieved. Your organization has implemented systems for Stages 1 and 2. Which system should your organization consider as Stage 3 adoption? a. Computerized provider order entry (CPOE) and clinical decision support b. Nursing/clinical documentation (flow sheets) and clinical decision support c. Closed loop medication administration d. Physician-structured documentation and clinical decision support

Nursing