HA Exam 2

Frequently elevating the arm of the affected side above the level of the heart

A nurse is caring for a client following a mastectomy. Which of the following actions should the nurse implement to prevent lymphedema?

Papanicolaou (Pap) test

A nurse is caring for a client that asks to be screened for cervical cancer because a relative has been diagnosed with it. What tests should the nurse expect the health care provider to use?

occupational therapist

A nurse is caring for a client who has a fractured arm and is having difficulty with performing ADLs. The nurse should consult with which following members of the interdisciplinary team to assist the client?

What is it about the adverse effects that concerns you?

A nurse is caring for a client who is to start chemotherapy for advanced breast cancer.She tells the nurse she is worried about the treatment. Which of the following responses should the nurse make?

Increased calcium excretion

A nurse is caring for a client with osteoporosis and has difficulty with mobility. The client receives home health care and a reclining chair. Which of the following physiological responses to prolonged immobility should the nurse expect?

occupational therapist

A nurse is caring for a client with rheumatoid arthritis And is experiencing difficulty feeding while using adaptive devices. The nurse initiates a referral with which of the following members if the interprofessional healthcare team?

Dryness with intercourse

A nurse is caring for a middle adult female that reports that her menstrual periods have become irregular and has been having hot flashes. The nurse should expect the client to have which of the following manifestation Associate it with early menopause?

Pain worsen with activity

A nurse is completing a physical assessment of a client who has early osteoarthritis. Which of the following manifestations should she expect?

Bouchard nodes

A nurse is completing a physical assessment of a client with late stages of osteoarthritis.Which of the following manifestations are excepted?

Calcium

A nurse is disgusting the prevention of osteoporosis with an older adult client. The nurse should instruct the client to increase which of the following nutrients?

Prostatic cancer

A nurse is evaluating a clients laboratory results. The nurse should recognize that an increase in the clients prostate specific antigen laboratory value is indicative of which of the following diagnosis?

It forms a major part of the immune system

A nurse is explaining to a client the physiology of the lymphatic system.Which response by the nurse most accurately describes the system?

-Aging -obesity -Smoking

A nurse is instructing a client about the risk factors for osteoarthritis. Which of the following factors should the nurse include in the information session?

Maintain recommended body weight

A nurse is instructing a group of clients about osteoarthritis. Which of the following recommendations to the nurse include in the testing?

Examine the testicles after a bath or shower

A nurse is instructing a group of male adolescents about testicular self-examination. Which of the following information should...?

blood pressure

An assistive personnel (AP) report a clients vital signs are tympanic Temperature 37.1 (98.8F), Pulse 92/min, BP 98/58 mm hg. Which of the following vital signs should the nurse re-measure?

Hernia

A 45 year old male shows the nurse his inguinal Area that is building and painful. The client states that the pain intensifies and when lifting heavy equipment. Which of the following conditions is the client most likely manifesting?

-palpable -strongly lactiferous ducts

A 70 year old woman is having an annual mammogram. Before the mammogram the nurse says a breast examination...would include: (Select all that apply)

"There may be impairment to the lymphatic drainage

A client is admitted to the hospital with edema to the left arm one month after a left mastectomy. When providing client instructions causes of edema, What statement made by the nurse indicates the cost of the clients edema?

For those with a menstrual cycle, perform a BSE every month, 7 days after menstruation

A community health nurse is developing a pamphlet about breast self-examination (BSE) for a local health fair.Which of the following should the nurse include?

Candida albicans

A female client comes to the clinic today. She complains of severe itching of her vulva.Upon assessment, the nurse notes a thick like texture discharge.What is the client likely experiencing?

Developing breast cancer

A female middle adult age client tells that she tested positive for a mutation BRCA1 gene.The nurse should recognize that there is an increased risk for which of the following situation?

Starting between the ages of 11 and 12 years is the recommended age for this immunization

A mother asks a nurse when her daughter should get immunized for human papilloma virus (HVP).What is the nurse most appropriate response to this question?

Knuckle deformity

A nurse In a healthcare providers office Is assessing a client with rheumatoid arthritis (RA).Which of the following findings of this condition?

What part of the exam makes you most nervous

A nurse in a family planning clinic is caring for a 22 year old female client who is requesting oral contraceptives.The client states she is nervous because she has never had a pelvic examination. Which of the following responses should the nurse make?

Positive Phalen's Sign

A nurse in a providers office is assessing a client who has wrist pain. Which of the following findings is a manifestation?

I'll urinate then stop

A nurse instructs a female client about collecting a midstream urine sample.Which of the following client statements indicates an understanding of the procedure?

increased heart rate

A nurse is assessing a client who reports acute pain. The nurse should anticipate which of the following findings?

Paraphimosis

A nurse is assessing a male client in pain. During the examination, The nurse notes that the foreskin of the penis is retracted and swelling Is constricting the glands. Which of the following conditions is the client most likely suffering from?

kyphosis

A nurse is assessing an older adult that has experienced some laws phone density. The nurse observes a "hunchback" In the clients spine. The nurse should expect a healthcare provider to document which of the following disorders?

I should call the healthcare provider is one testis is larger than the other

A nurse is caring for a 19 year old male client who is preparing to perform a self-testicular examination. Which statement made...requires further teaching by the nurse?

Urinary Track Infection (UTI)

A nurse is caring for a client and observes that the clients urine is pink, and has an unpleasant odor. These findings are associated with which of the following?

"What is it about the adverse effects of the treatment that concerns you?"

A nurse is caring for a client beginning chemotherapy for advanced breast cancer.The client states "I am worried about the adverse treatment".Which of the following responses should the nurse take?

-Since I no longer have periods, I can't perform an examination at the same time of every month -If I feel a firm rich in the lower curve of my breast I should report this immediately -I will make sure to feel changes in my under arm area -I can stand in the shower

A nurse is providing breast self examination instructions to a client with menopause. Which of the following statements... Is in indication that the instructions was effective? SATA

-Close male relatives are at an increased risk of developing testicle cancer -Testicular cancer typically occurs between the ages of 15 and 35

A nurse is providing inspections to a client with a new diagnosis of testicular cancer. Which of the following?

-testicular cancer typically occurs between the ages of 15 and 35. -Close male relatives are at an increased risk of developing testicular cancer.

A nurse is providing teaching to a client who has a new diagnosis of testicle or cancer. Which of the following information should the nurse input in the teaching?

-Laboratory reports reveal the patient's blood sugar is increased then the normal value -Ultrasound results shows presence of stones in the gallbladder -BP at 150/80 mmHg, right arm, sitting position -Grimace face and guarding position of the abdomen

A nurse is reviewing client assessment data. Which information found in the clients chart is considered objective data?

Examine the testicles after a bath or shower

A nurse is teaching a group of male adolescents about testicular self-examination. which of the following info...

An older adult client that is confused and has urinary frequency

A nurse on the medical surgical unit is conducting a fall risk assessment for four clients. The nurse should identify which client is at greatest risk for a fall?

crepitation

A patient states "I can hear a crunching or grating when I kneel" She also states that "it is very difficult to get out of bed because of the stiffness and pain in my joints". The nurse should assess for signs of what problem?

Heberden nodes

Doing a head to toe assessment of a client with osteoarthritis, The nurse notes bony outgrowths On the distal interphalangeal... Will document which of the following in the chart?

Left hand cold to touch and capillary refill greater than 10 seconds.

Mr.Claus under went surgeryTo repair an open wound to his left arm. One day after the operation, the client is complaining... What caused the nurse to notify the healthcare providers immediately?

Returning periods

The nurse is conducting a room reproductive assessment of a postmenopausal woman, which assessment findings reported by the client requires immediate intervention By the nurse?

colonoscopy

The nurse is teaching a 50 year old client about recommended health screenings. Which health screening test is recommended?

Performing physical activity, such as walking

The nurse is teaching a class on preventing osteoporosis from a group of perimenopausal women, Which of these actions is the best to prevent or delay bone loss in this group?

Hold both hands back to back while flexing the wrist 90 degrees for 60 seconds

The nurse suspect that a patient has carpal tunnel syndrome and want to perform the phalen test. To perform this test, the nurse should instruct the patient to?

-conception of alcohol -Postmenopausal weight gain -Canned fish -mayonnaise

Which factors increase the risk of breast cancer? (Select all that apply)

-Lift your arm over your head -Put your hands on your hips -Lean forward a little and exhale

Which instructions with the nurse give doing the female breast examination? SATA

Breast examinations are performed on both males and females

Which statement would indicate the nurse has a correct understanding of breast examinations?