Ch. 10

what would be the most appropriate question for the nurse to ask a female client who is seeking treatment for skin rash on her hands that developed recently after starting a new job? A. do you wear gloves at work? B. how would you describe your level of stress C. have you recently been exposed to extremes in temperature? D. do you hands usually perspire

A

when assessing a pediatric client's skin rash, the nurse notes that the rash consist of small, red, fluid-filled vesicles that began on trunk and progressed to face, arms, legs. the nurse concludes that the client most likely has which condition? A. chicken pox B. german measles c. measles D. tinea capitis

A

when assessing the breasts in a female client the nurse performs the assessment using which assessment techniques? A.inspecting and palpating breast B. palpating and percussing breast C.inspecting and percussing breast D. inspecting and auscultating breast

A

which assessment data would the nurse consider an abnormal finding that warrants referral of the client to a healthcare provider for further evaluation? A. dark pigmented band on nail bed B. beau's line at nail base C. multiple nevi on neck D. vitiligo

A

a client who has a history of COPD has clubbing of fingers the nurse explains to the client that this physical assessment finding has which etiology? A.anemia B. hypoxia C. iron deficiency D. trauma

B

a 30 year old client who has had three pap smears asks the nurse 'how often should i get a pap smear' what is the nurse's best response? A. every six months B. once a year C. once every two to three years D.every five years

C

after performing a rectovaginal examination the nurse would take which action next? A. dispose of gloves and instruct client to dress B. perform a test for occult blood on matter that is on the gloved finger C. discuss the findings of the examination with the client D. dispose of all equipment

B

a 50 year old male lient with history of cardiovascular disease tells nurse "it seems like my breast are getting bigger as i get older" what is the nurse's best response? A. please tell me what medications you are taking because some medication cause breast enlargement B. have you increased your calorie intake during the last 6 months? C. as we age our metabolic needs decreased and if we still consume the same number of calories, our weight increases D. this is probably because the healthcare provider ordered female hormones as adjunct treatment for your heart disease

A

during an annual physical exam, a 64 year old male client asks the nurse, 'what are the signs of BPH?' what would the nurse include in response? A. hesitancy, weak stream, dribbling and frequency B. mass in scrotal sac C. fluid in scrotal sac D. hard nodules in inguinal area

A

the client has just been diagnosed with hyperopia the client asks what is hyperopia what term should be included in the nurse's response? A. farsightedness B. nearsightedness C. emmetropia D. double vision

A

the client presents to emergency room with pain, redness and warmth and swelling in left breast. the nurse will further evaluate the client for which health problem? A. infection B. lesion C. everted nipple D.cystic breast disease

A

the client presents with a complaint of seeing halos around objects the nurse would prepare the client for eye evaluation of which condition A. glaucoma B.head injury C. miosis D. hordeolum

A

the nurse assesses the client's eyes and notes that the pupils are constricted despite being indoors without bright light in the room. how would the nurse document this finding? A. miosis B. mydriasis C. hyperopia D. myopia

A

the nurse is evaluating the red reflex and observes white spots on the lens along with a diminished red reflex what would the nurse do next? A. refer client for evaluation of cataracts B.assess client for increased intraocular pressure C. asses client for extraocular movement and reevaluate the reflex D. assess the fundus for color

A

the nurse is preparing to assess extraocular eye movement. the nurse should select from which appropriate methods? A. letter H method B. circular method C. wagon wheel method D. snellen eye chart E. shining light into pupils

AC

the mother of a 16 year old femal calls the clinic information hotline. the mother is screaming and crying on the phone as she t ells the nurse that her daughter found a lump on her breast. What is the nurse's best initial reaction? A. tell mother than teenage girls often don't get breast cancer B. instruct mother to go to emergency department C. offer mother support and provide concerned listening to decrease anxiety D. tell mother that she does not have breast cancer that her daughter is not likely to have it.

A.

the nurse finds enlarged nail beds and a spongy quality at the nail base during an assessment of a client with a diagnosis of COPD how would the nurse document this finding? A. clubbing B. onycholysis C. paronychia D. spoon nails

A.

the nurse is assessing the genitalia of a newborn infant. the nurse observes that the urinary meatus is on the dorsal side of the penis. the nurse would document the presence of which finding? A. epispadia B. hypospadias C. urethral stricture D. urethritis

A.

the nurse is instructing a 47 year old female client about mammography the nurse should include which instructions? A. obtain mammogram every year B. perform breast self-examination prior to having a mammogram C. obtain mammogram when the client is menstruating D. schedule mammography at same time as pelvic examination

A.

when assessing the breasts of a 60 year old women, the nurse palpates the breasts and notes breast tissue that is pendulous with loss of elasticity. what action would the nurse take at this time? A. document this as normal B. have physician evaluate the client for underlying pathology C. prepare client for mammography as this indicates fibrocystic breast disease D. assess client for paget's disease

A.

when gathering data about a female client's reproductive health the nurse should ask what questions? A. how old were you when you first menstruated? B. how long does your menstrual cycle last? C. how would you describe your menstrual flow? D. how do you feel during your period? E. do you have hemorrhoids?

ABCD

what approaches would the nurse use to prepare a caucasian client for a skin, hair and nail assessment? A. provide warm, private environment B. be sensitive to cultural issues C. use tangential lighting only D. use standard precautions throughout assessment E. bathe client

ABD

when taking a health history of an older adult client, the nurse would inquire about a history of which eye conditions? select all that apply A. cataracts b. macular degeneration C. discharge from eyes D. presbyopia E. glaucoma

ABDE

in monitoring a client's recent development of skin lesions, which finding should alert the nurse to refer the client for further evaluation? A. irregular borders B. yellow-white greasy scales of scalp C. change in pigmentation from brown to black D.diameter greater than 6 mm E. color of skin around lesions is client's typical skin tone

ACD

during assessment of external eye the nurse should inspect which structures of the eye? A. eyebrows and lashes B. pupillary reaction to light C. sclera and iris D. cornea E. conjunctiva

ACDE

a client presents to the emergency department with a report of something being in the eye. the nurse would conclude the client has a corneal abrasion. when observing which clinical manifestation? A. bleeding from lacrimal apparatus B. splintered look to light reflecting off cornea C. periorbital edema D. opacity of lens

B

a foreign exchange student is admitted to hospital with onset of an acute skin condition. what action should the nurse implement to avoid miscommunication or misinterpretation of health-related information A. call client's family B. enlist aid of medical interpreter C. use sign language D. use picture chart

B

a man presents to the ambulatory clinic reporting presence of hernia. what instruction does the nurse give the client in order to assess the area? A. assum lateral position to push bowel contents closer to abdominal wall B. bear down while nurse is palpating inguinal area C. assume lateral side lying position so nurse may perform rectal examination D. assume position leaning over exam table while nurse performs rectal exam

B

a 20 year old female asks the nurse "why do my breast feel bumpy a few days during the month?" what is the nurse's best response? A. there is a good chance you have breast cancer and you should be evaluated in the clinic B. breast nodules are as a result of monthly hormonal changes C. breast nodules increase during times of stress have you been under unusual stress lately? D. is there a possibility you can be pregnant?

B

a 50 year old male having an annual physical exam tells nurse that he is unable to achieve erection since last exam one year ago. the nurse notes that at that visit he was placed on several meds. the nurse concluded that which type of medication prescribed at that time is the most likely cause of his erectile dysfunction? A. aspirin B. antihypertensives C. cardiac glycoside D. diuretic

B

a client has experienced a head injury the nurse is assessing the client and observes papilledema based on this finding the nurse concludes that the finding is consistent with which condition? A. glaucoma B. increased intraocular pressure C. hyperopia D. iritis

B

an adolescent boy is undergoing a physical exam to meet school requirements to play sports. the nurse practitioner palpate the inguinal hernia when the mother of the boy asks the nurse what an inguinal hernia is, what is the nurse's best response? A. portion of bladder has entered the testicular sac B. portion of bowel is protruding through weakened abdominal wall C. the testicles have retracted into abdominal wall D. testicles have protruded through abdominal muscle wall

B

during the assessment of an adult client's ear the nurse should expect to document that the tympanic membrane will have which characteristics ? A. pink and shiny in appearance B. pearly gray with cone of light neart the five or seven o'clock position C. covered with thin to moderate layer of cerumen D. beefy red in color across the tympanic membrane

B

during the external examination of the labia the nurse notes some papules and a draining papule appearing like an ulcer. the nurse would expect the client to be evaluated for what condition? A. ovarian cancer B. Sexually transmitted disease C. polyps D. pregnancy

B

in assessing a young client's hair, the nurse notes the texture is very coarse, dry, and brittle. what condition should the nurse consider as a potential cause for this type of abnormality? A. alopecia areata B. hypothyroidism C. pediculosis capitis D. seborrheic dermatitis

B

the client has had prostate specific antigen level drawn and the healthcare provider told the client the result was 3 ng/dl. the client asks the nurse "what does a PSA of 3 mean?" the nurse interprets this value as having which meaning ? A. decreased value requiring retesting B. normal finding requiring no action C. high value indicating probable cancer D. very high value requiring immediate surgery

B

the client tells the nurse, 'i am afraid i am going to get ovarian cancer' the client then asks the nurse, 'what are the early symptoms of ovarian cancer?' what is the nurse's best response? A. pelvic and back and abdominal distention develop as early signs of ovarian cancer B. gastrointestinal discomfort and or calf or lower back pain tend to be earlier signs of ovarian cancer C. it only occurs in menopausal women, dryness, itching and burning in vagina occur with ovarian cancer D. redness and swelling of vagina with a thick, cheesy discharge occur.

B

the nurse assigned to the newborn nursery has made an admission assessment of a term newborn. the nurse would refer the newborn, who was born breech, for further evaluation and follow-up after assessing which clinical manifestation. A. scrotal edema B. absent testes C. positive urinary stream D. presence of smegma

B

the nurse is conducting a health education program for veterans when instructing veterans on prostate health the nurse should explain that individuals of which ethnicity have highest incidence of prostate cancer ? A. caucasian B. african americans C. europena american D. canadian

B

the nurse obtains a finding of 20/100 OS during a snellen chart exam the nurse should interpret these findings to mean that the client has which vision alteration? A. myopia in right eye B. myopia in left eye C. hyperopia in right eye D. hyperopia in left eye

B

to best detect skin color changes when assessing a dark-skinned client the nurse should inspect which area of the client's body? A. face B.lips C.neck D.trunk

B

to determine information about a vaginal infection the nurse should gather data related to which item? A. vaginal bleeding B. itching on labia C. vaginal surgery D. sexual arousal

B

to determine problems with reproductive health the nurse should ask the client which questions? A. do you use tampons or pads during menstruation B. have you ever had an illness associated with your reproductive systems C. do you achieve sexual satisfaction D. are you sexually active

B

to evaluate for the presence of a foreign body in the patient's eyes the nurse would perform which assessment? A. test for extraocular movement to visualize all areas of the sclera B. evert the eyelid to assess the sclera C. palpate puncta D. inspect cornea and lens

B

when an older adult client presents with periorbital edema that nurse would assess the client for which associated condition? A. facial and eye trauma B. congestive heart failure C. allergies to newly prescribed meds D. presbyopia

B

when palpating the client's uterus the nurse feels the tip of cervix tilted downward the nurse would conclude that the uterus is in which position? A. midline B. anteversion C. retroversion D. parallel to ovaries

B

when performing a rectovaginal exam the nurse's finger is unable to penetrate rectum. the facilitate the exam what action should the nurse take next? A. re-lubricate the gloved finger and try again B.instruct the client to bear down as the client is bearing down insert a lubricated gloved finger C. defer the exam D. ask client to try and relax and attempt the procedure again in 10 minutes

B

when teaching the client to perform a testicular self-examination the nurse would include which instructions to the client? A. perform exam after intercourse monthly B. perform the exam in the shower monthly C. perform exam while in sitting position D. only report lumps that are painful to the touch to the healthcare provider

B

which finding would the nurse assess for in a client who has eczema? A. intense pain B. itching C. purple lesions D. thickening of the skin

B

which nursing diagnosis has the highest priority for a client who has a skin tone change from normal to cyanosis? A. impaired skin integrity B. ineffective tissue perfusion C. risk for infection D. impaired spontaneous ventilation

B

while inspecting the urethral orifice of a female client during examination the nurse observes urine leakage. what conclusion would be appropriate for the nurse to draw from this observation? A. client did not empty the bladder as instructed B. there is weakness of the pelvic muscles C.cystocele is present D. urinary tract infections is present

B

when obtaining a pap smear on a female client, the nurse will obtain the sample using which method? A. inserting a wooden applicator to scrape cervical cells B. using a cotton-tipped applicator to obtain cervical cells C. applying material from the examiner's gloved hand to the slide D. obtaining a sample of secretions from the vaginal vault

B.

place in chronological order the following steps for inserting a speculum into the client's vagina. all options must be used. A. hold speculum in dominant hand B. select correct speculum C. insert speculum 45 degree angle D. with non-dominant hand apply pressure on posterior aspect of vaginal opening E. open speculum and visualize cervix

BADCE

to perform an examination of the female genitalia the nurse would place the client in which acceptable position? select all that apply A. knee-chest B. lithotomy C. lateral sims D. prone E. standing

BC

the nurse is assessing an 80 year old man being seen in the urology office reporting 'i go to the bathroom 3-4 times each night and it feels like i can't empty my bladder completely' based on this report, the nurse expect to note which findings during evaluation of client's prostate gland? select all that apply A. small nodule on prostate gland B. firm fixed prostate gland C. edematous scrotal sac D. soft mobile nodule in scrotal sac E. enlargement of prostate gland

BE

a 30 year old uncircumcised male is unable to retract the foreskin so the glans of the penis can be assessed during physical examination. the clinic nurse would document the presence of which finding? A. hypospadias B. epispadias C. phimosis D. stricture

C

a client comes to the healthcare provider's office for an annual checkup which question is the best for the nurse to ask to obtain information about illness or infection of the client's skin? A. have you recently had a skin infection B. have you noticed rashes on your body C. can you tell me about any skin problems you have had? D. have you ever sunbathed

C

a woman who gave birth one month ago is in the emergency department with a red, warm, swollen and tender left breast. the client has a temperature of 100 degrees farenheit and reports fatigue and chills. based on these findings the nurse should prepare to initiate a plan of care for which nursing diagnosis A. self-care deficit related to breast cancer B. pain related to infected lymph node C. impaired tissue integrity related to mastitis D. self-care deficit relate to influenza

C

based on the client's current symptoms the nurse suspects an infectious process. what would be the most appropriate method for the nurse to use to determine the client's skin temperature as a follow-up assessment? A. inspect face for redness B. assess for skin turgor C. use dorsal surface of hand to palpate skin D. use palm of hand to palpate skin

C

during a physical examination, the nurse observes a dark, pigmented band on the nail bed of the client's left forefinger. what action by the nurse is most important? A. document findings as splinter hemorrhage B. evaluate nail beds for clubbing C. refer the client for further evaluation by a healthcare provider D. ask client further questions related to nail trauma

C

during examination of a female older adult client the nurse notes a blue cyanotic cervix the nurse concludes that this client should be evaluated for which health problem? A.pregnancy B. sexually transmitted disease C. congestive heart failure D. cancer

C

the client asks 'am i going blind? i keep seeing black floating spots in front of my eyes' what is the nurse's best response? A. you need full evaluation of what is going on with your eyes before something develops B. you will probably lose your sight C. it is probably what we call floaters which are pieces of vitreous humor D. it is the result of hemorrhaging in the eye

C

the client's pupils are reactive to light and accomodation and appear normal. how would the nurse would best document this finding? A. pupils reactive to light, appear normal B. eye exam within normal limit C. pupils equal, round, reactive to light and accommodation (PERLA) D. visual acuity within normal limits

C

the nurse is able to transilluminate the scrotum of a man during physical examination what term would the nurse use to document the finding that is associated with this result? A. mass B. varicocele C. hydrocele D. orchitis

C

the nurse is assessing the client's visual acuity to be 20/25 using an eye chart. the client asks what that means, which of the following is the nurse's best response? A. you can read at 25 feet what most people can read at 20 feet B. your left eye can see the chart at 20 feet while the right eye can see it at 25 feet C. you can read at 20 feet what most people can read at 25 feet D. you can read the chart perfectly with both eyes

C

the nurse is examining the breasts of a 15 year old girl the client asks the nurse why her right breast is larger than her left. what is the nurse's best answer? A. there may be cancerous mass in right breast so we will order a mammography B. hormonal changes through the month may increase the size of a breast during the month C. one breast may grow faster than the other during adolescence D. try not to worry about it. we will keep an eye on it

C

the nurse is examining the genitalia of a male client and observes urethral discharge. what is the most appropriate action for the nurse to take? A. put on gloves to avoid contamination of nurse's hands B. have client squeeze some discharge into slide to observe its characteristics C. insert sterile applicator into urinary meatus to collect discharge for culture and sensitivity testing D. ask healthcare provider to write an order for broad spectrum antibiotic therapy

C

the nurse is finishing a rectal exam of a male client. after withdrawing the gloved finger from the rectum, what would the nurse do next? A. dispose of gloves in red infectious waste bag B. wash gloves prior to disposal to prevent contamination of housekeeping staff C. test material on glove for occult blood D. show client the bathroom where he can empty his bowel

C

the nurse is performing a vaginal examination and assesses wart-like lesions on the vulva. the nurse would conclude that this finding may indicate which health problems? A. gonorrhea B. chlamydia C. human papillomavirus D. fibroids

C

the nurse is teaching a pregnant, third trimester client about what to expect during delivery when the woman states, "i think i have a breast infection. i have yellow discharge coming from my breasts." what would be the nurse's initial reaction? A.obtain culture and sensitivity of the discharge and then notify the healthcare provider B. obtain a healthcare provider order for a broad-spectrum antibiotic since the client is in the third trimester of pregnancy C. state that this discharge is called colostrum which is a precursor to milk, and is normal during pregnancy D. prepare client for breast assessment for further evaulation of findings

C

the nurse performs a skin turgor test on an older adult client and notes that the skin turgor is decreased. the next priority action of the nurse is to assess for the following A. diaphoresis B. orientation C. dehydration D. signs of vascular insufficiency

C

the nurse would use which procedure as the preferred method for examining rectum of male client? A. have client stand in front of nurse, then insert a lubricated, gloved, flexed index finger into rectum in direction of umbilicus B. have client assume sim's position and insert lubricated, gloved, flexed, index finger into rectum toward umbilicus. C. position the client leaning over exam table and insert lubricated, gloved, flexed index finger into rectum toward umbilicus D. position the client in lithotomy position and insert lubricated, gloved, flexed, index finger into rectum towards umbilicus

C

when examining the genitalia of a 30 year old male, the nurse would document which finding as normal? A. scrotal sac that has an inelastic texture B. firm smooth scrotal sac C. firm smooth testes D. light colored scrotal sac

C

the nurse is about to perform a bimanual examination of a femal client's reproductive system. place the following steps for performing a bimanual examination in chronological order. A. slip a finger into vaginal recesses to palpate fornices B. palpate the uterus by pushing on the abdomen between the umbilicus and symphysis pubis C. place a lubricated gloved index and middle finger of the dominant hand in the vagina to palpate the cervix D. palpate the ovaries by placing fingers in the left vaginal fornix and pushing on the abdomen, and then repeating on the right side E. perform a rectovaginal examination

C, A, B, D, E

before assessing a female client's breast for dimpling the nurse will position the client in which best position? A. supine B. sitting with hands over head C. sitting with hands on hip D. lateral

C.

the nurse performing a breast exam on a woman finds a crusty scaly lesion on the right breast at the nipple. based on this finding the nurse concludes that the client may have which problem? A. fibrocystic breast disease B. mastitis C. paget's disease D. interductal papilloma

C.

when documenting findings of a breast examination on a pregnant female the nurse should expect to document which observation? A. nipple retraction B.mobile mammary ducts C. blue vascular pattern over breasts D. mobile nodule in each breast by the fourth months

C.

when teaching the pregnant women about her breasts, the nurse would evaluate that the client understands the instruction when the client makes which statement A. i will stop performing monthly exams until after baby is born B. colostrum is present in the breasts until about one week after delivery C. colostrum is present in the breasts somewhere around the fourth month of pregnancy D. colostrum is not present in the breasts until one week postpartum

C.

the nurse is performing a school physical on a 16 year old male. which question are essential for the nurse to ask during the reproductive evaluation of this client select all that apply A. do you have nocturnal emissions? B. do you have urinary frequency C. are you sexually active D. do you use condoms E. are you performing testicular self examination

CDE

the nurse working in a women's health clinic is teaching a female client about breast lesions. the nurse would explain that which characteristics are associated with a benign lesion? select all that apply. A. soft B. mobile C.tender D. regular borders E. well-defined

CDE

a nurse assessing a 2 year old newborn notes a yellow discoloration of skin. after verifying that medical record indicates jaundice nurse anticipates implementation of which treatment? A. immunization B. electrolyte replacement C. fortified vitamins D. phototherapy

D

a nurse is assessing a client with a history of heart failure who presents with severe edema in lower extremities. the nurse would document in the presence of +4 after noting which finding? A. slight indentation with no perceptible swelling of leg B. moderate pitting, with no indentation that subsides rapidly C. deep pitting swollen leg, and indentation that remains for short time D. very deep pitting, very swollen leg and indentation that last a long time

D

during an examination of the genitalia a male client develops an erection. what is the most appropriate action for the nurse to take? A. leave room for a few minutes until client is not aroused B. send in another nurse or healthcare provider to continue assessment C. apologize to client and continue assessment D. reassure client about this normal response and continue with examination

D

during assessment of the female genitalia the nurse would document which observation as a normal finding? A. sparse hair distribution B. yellowish fluid on bartholin's gland C. cheese-like substance present in labia folds D. round and closed cervical os in a nulliparous women

D

in developing a plan of care to promote healthy skin for an adolescent client, the nurse considers that it is essential to consider which data regarding client's skin? A. recent rashes B. skin infection C. pain assessment D. use of sunscreen

D

the nurse assesses the vision of an older adult client and finds that the client has no central vision but has peripheral vision. the nurse concludes that this is consistent with which disorder ? A. blepharitis B. hypertensive retinopathy C. diabetic retinopathy D.macular degeneration

D

the nurse is assessing the breasts of an obese female. what is the most appropriate technique for the nurse to use to examine the breast. A. use a circular technique starting from the nipple outwards B. use any technique that permits the examiner to assess the breast C. position the client prone with breasts hanging over the examination table D. use the bimanual technique

D

the nurse is assessing the genitalia of an adult male client the nurse notes that the scrotal sac is more darkly pigmented than the client's general skin color. after making this observation, what would the nurse do next as a follow-up action? A. palpate scrotum for masses and lesions B. ask client if he has experienced any pain in scrotal area C. transilluminate scrotum for masses D. document this as normal finding

D

the nurse is caring for a client who sustained eye injury because of a pencil in the eyes which was removed 4 days ago. the pupil is nonresponsive to light and client has no blink response when nurse's finger is brought toward eye. the client is crying and asks 'am i blind?' what is the nurse's best initial response to client? A. you will get your sight back B. it is likely that you will get all you sight back eventually C. you will be a candidate for prosthetic D. it seems you are upset i can sit with you and talk for awhile

D

the nurse is evaluating a client's pupils for consensual reaction to light. what is the most appropriate technique for nurse to use? A. shine light in one eye and observe that eye for reaction to light B. bring penlight toward bridge of nose and observe pupillary reaction to light C. bring penlight toward bridge of nose and observe for convergence of eyes D. shine light in one eye and observe opposite eye for reaction to light

D

the nurse is inspecting a female client's external genitalia and notes cauliflower-like lesions the nurse should conclude that these lesions are consistent with which health problem ? A. cystocele B. pregnancy C. syphilitic lesions D. genital warts

D

the nurse is teaching the client about breast self-examination. the client asks "are there any areas of the breast where cancer is more likely to occur?" what is the nurse's best response? A. in nipple area B. in inferior aspect C. near sternal border D. in upper outer quadrant

D

the nurse would ask which priority assessment question when taking the history of a 28 year old male client being seen in clinical for physical exam? A. do you have nocturnal emissions when you are sleeping? B. are you getting up frequently during night to urinate? C. are you able to achieve an erection? D. do you perform testicular self-examination?

D

to prevent complications during pregnancy, what question during a health assessment of a pregnant client in her first trimester would be most important for the nurse to ask? A. how have you been feeling lately B. have you ever been pregnant before C. do you have other children at home D. do you use any topical medications

D

upon assessment of the client, the nurse notes increased intraocular pressure. the nurse should develop a plan of care for this client using the diagnosis visual impairment related to which etiology? A. mydriasis B. miosis C. cataract D. glaucoma

D

when performing a breast assessment on a client, the nurse finds a brown spot below the right breast it has a nipple located in the center. the nurse should document this finding using which description? A. right breast mole B. suspicious lesion needing further evaluation C. lymphatic tissue requiring further evaluation D. benign supernumerary nipple

D

when teaching a multicultural group of women over 40 years of age about breast cancer the nurse should include what statement? A. all women are at equal risk for breast cancer B. all women should perform yearly self-breast examinations C. mammography should be performed every 3 years D. caucasian women are at greatest risk for developing breast cancer

D

when performing rectovaginal exam the nurse would expect to implement which assessment procedure? A. palpate ovaries B. palpate fallopian tubes C. determine position of uterus D. compress rectovaginal septum

D.

the nurse is teaching the client to operform breast self-examination the nurse should teach the client to perform the steps of the examination in what order? place the steps of the procedure in numerical order. A. palpate axilla B. palpate breast from center outward using the finger pads C. inspect axilla D. inspect breast E. palpate nipple

DCBAE

the nurse is reviewing past medical history of a client. the nurse notes that the client has stabismus the nurse would expect to see which clinical manifestation A. one pupil nonreactive to light B. redness and inflammation around iris and cornea c. convergence of eyes towards bridge of nose D. drooping of eyelid

c