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NUR-211 || Test || 2 || with || verified || detailed || answers
A || client || is || in || the || emergency || department || reporting || a || brief || episode || during || which || he || was || dizzy, || unable || to || speak, || and || felt || like || his || legs || were || very || heavy. || Currently || the || client's || neurologic || examination || is || normal. || About || what || drug || should || the || nurse || plan || to || teach || the || client? a. || Alteplase || (Activase) b. || Clopidogrel || (Plavix) c. || Heparin || sodium d. || Mannitol || (Osmitrol) || - || ✔✔ANS: || B This || client's || manifestations || are || consistent || with || a || transient || ischemic || attack, || and || the || client || would || be || prescribed || aspirin || or || clopidogrel || on || discharge. || Alteplase || is || used || for || ischemic || stroke. || Heparin || and || mannitol || are || not || used || for || this || condition. A || client || had || an || embolic || stroke || and || is || having || an || echocardiogram. || When || the || client || asks || why || the || provider || ordered || "a || test || on || my || heart," || how || should || the || nurse || respond? a. || "Most || of || these || types || of || blood || clots || come || from || the || heart." b. || "Some || of || the || blood || clots || may || have || gone || to || your || heart || too." c. || "We || need || to || see || if || your || heart || is || strong || enough || for || therapy." d. || "Your || heart || may || have || been || damaged || in || the || stroke || too." || - || ✔✔ANS:A An || embolic || stroke || is || caused || when || blood || clots || travel || from || one || area || of || the || body || to || the || brain. || The || most || common || source || of || the || clots || is || the || heart. || The || other || statements || are || inaccurate. A || nurse || receives || a || report || on || a || client || who || had || a || left-sided || stroke || and || has || homonymous || hemianopsia. || What || action || by || the || nurse || is || most || appropriate || for || this || client? a. || Assess || for || bladder || retention || and/or || incontinence. b. || Listen || to || the || client's || lungs || after || eating || or || drinking.
c. || Prop || the || client's || right || side || up || when || sitting || in || a || chair. d. || Rotate || the || client's || meal || tray || when || the || client || stops || eating. || - || ✔✔ANS:D This || condition || is || blindness || on || the || same || side || of || both || eyes. || The || client || must || turn || his || or || her || head || to || see || the || entire || visual || field. || The || client || may || not || see || all || the || food || on || the || tray, || so || the || nurse || rotates || it || so || uneaten || food || is || now || within || the || visual || field. || This || condition || is || not || related || to || bladder || function, || difficulty || swallowing, || or || lack || of || trunk || control. A || client || with || a || stroke || is || being || evaluated || for || fibrinolytic || therapy. || What || information || from || the || client || or || family || is || most || important || for || the || nurse || to || obtain? a. || Loss || of || bladder || control b. || Other || medical || conditions c. || Progression || of || symptoms d. || Time || of || symptom || onset || - || ✔✔ANS:D The || time || limit || for || initiating || fibrinolytic || therapy || for || a || stroke || is || 3 || to || 4.5 || hours, || so || the || exact || time || of || symptom || onset || is || the || most || important || information || for || this || client. || The || other || information || is || not || as || critical. A || client || is || being || prepared || for || a || mechanical || embolectomy. || What || action || by || the || nurse || takes || priority? a. || Assess || for || contraindications || to || fibrinolytics. b. || Ensure || that || informed || consent || is || on || the || chart. c. || Perform || a || full || neurologic || assessment. d. || Review || the || client's || medication || lists. || - || ✔✔ANS:B For || this || invasive || procedure, || the || client || needs || to || give || informed || consent. || The || nurse || ensures || that || this || is || on || the || chart || prior || to || the || procedure || beginning. || Fibrinolytics || are || not || used. || A || neurologic || assessment || and || medication || review || are || important, || but || the || consent || is || the || priority.
b. || Eats || 75% || to || 100% || of || all || meals || and || snacks c. || Has || clear || lung || sounds || on || auscultation d. || Gains || 2 || pounds || after || 1 || week || - || ✔✔ANS:C Impaired || swallowing || can || lead || to || aspiration, || so || the || priority || goal || for || this || problem || is || no || aspiration. || Clear || lung || sounds || is || the || best || indicator || that || aspiration || has || not || occurred. || Choosing || menu || items || is || not || related || to || this || problem. || Eating || meals || does || not || indicate || the || client || is || not || still || aspirating. || A || weight || gain || indicates || improved || nutrition || but || still || does || not || show || a || lack || of || aspiration. A || client || with || a || stroke || has || damage || to || Broca's || area. || What || intervention || to || promote || communication || is || best || for || this || client? a. || Assess || whether || or || not || the || client || can || write. b. || Communicate || using || "yes-or-no" || questions. c. || Reinforce || speech || therapy || exercises. d. || Remind || the || client || not || to || use || neologisms. || - || ✔✔ANS: || A Damage || to || Broca's || area || often || leads || to || expressive || aphasia, || wherein || the || client || can || understand || what || is || said || but || cannot || express || thoughts || verbally. || In || some || instances || the || client || can || write. || The || nurse || should || assess || to || see || if || that || ability || is || intact. || "Yes-or-no" || questions || are || not || good || for || this || type || of || client || because || he || or || she || will || often || answer || automatically || but || incorrectly. || Reinforcing || speech || therapy || exercises || is || good || for || all || clients || with || communication || difficulties. || Neologisms || are || made-up || "words" || often || used || by || clients || with || sensory || aphasia. A || nurse || assesses || a || client || with || the || National || Institutes || of || Health || (NIH) || Stroke || Scale || and || determines || the || client's || score || to || be || 36. || How || should || the || nurse || plan || care || for || this || client? a. || The || client || will || need || near-total || care. b. || The || client || will || need || cuing || only. c. || The || client || will || need || safety || precautions. d. || The || client || will || be || discharged || home. || - || ✔✔ANS:A
This || client || has || severe || neurologic || deficits || and || will || need || near-total || care. || Safety || precautions || are || important || but || do || not || give || a || full || picture || of || the || client's || dependence. || The || client || will || need || more || than || cuing || to || complete || tasks. || A || home || discharge || may || be || possible, || but || this || does || not || help || the || nurse || plan || care || for || a || very || dependent || client. A || nurse || is || providing || community || screening || for || risk || factors || associated || with || stroke. || Which || client || would || the || nurse || identify || as || being || at || highest || risk || for || a || stroke? a. || A || 27-year-old || heavy || cocaine || user b. || A || 30-year-old || who || drinks || a || beer || a || day c. || A || 40-year-old || who || uses || seasonal || antihistamines d. || A || 65-year-old || who || is || active || and || on || no || medications || - || ✔✔ANS:A Heavy || drug || use, || particularly || cocaine, || is || a || risk || factor || for || stroke. || Heavy || alcohol || use || is || also || a || risk || factor, || but || one || beer || a || day || is || not || considered || heavy || drinking. || Antihistamines || may || contain || phenylpropanolamine, || which || also || increases || the || risk || for || stroke, || but || this || client || uses || them || seasonally || and || there || is || no || information || that || they || are || abused || or || used || heavily. || The || 65-year-old || has || only || age || as || a || risk || factor. A || client || has || a || shoulder || injury || and || is || scheduled || for || a || magnetic || resonance || imaging || (MRI). || The || nurse || notes || the || presence || of || an || aneurysm || clip || in || the || client's || record. || What || action || by || the || nurse || is || best? a. || Ask || the || client || how || long || ago || the || clip || was || placed. b. || Have || the || client || sign || an || informed || consent || form. c. || Inform || the || provider || about || the || aneurysm || clip. d. || Reschedule || the || client || for || computed || tomography. || - || ✔✔ANS:A Some || older || clips || are || metal, || which || would || preclude || the || use || of || MRI. || The || nurse || should || determine || how || old || the || clip || is || and || relay || that || information || to || the || MRI || staff. || They || can || determine || if || the || client || is || a || suitable || candidate || for || this || examination. || The || client || does || not || need || to || sign || informed || consent. || The || provider || will || most || likely || not || know || if || the || client || can || have || an || MRI || with || this || clip. || The || nurse || does || not || independently || change || the || type || of || diagnostic || testing || the || client || receives.
An || aneurysm || is || a || ballooning || of || the || weakened || part || of || an || arterial || wall. || Intracerebral || hemorrhage || is || bleeding || directly || into || the || brain. || Vasospasm || often || makes || the || damage || from || the || initial || stroke || worse || because || it || causes || decreased || perfusion. || An || arteriovenous || malformation || (AVM) || is || unusual. || Subarachnoid || hemorrhage || is || usually || caused || by || a || ruptured || aneurysm || or || AVM. The || nurse || working || in || the || emergency || department || assesses || a || client || who || has || symptoms || of || stroke. || For || what || modifiable || risk || factors || should || the || nurse || assess? || (Select || all || that || apply.) a. || Alcohol || intake b. || Diabetes c. || High-fat || diet d. || Obesity e. || Smoking || - || ✔✔ANS:A,C,D,E Alcohol || intake, || a || high-fat || diet, || obesity, || and || smoking || are || all || modifiable || risk || factors || for || stroke. || Diabetes || is || not || modifiable || but || is || a || risk || factor || that || can || be || controlled || with || medical || intervention. A || nurse || is || caring || for || a || client || after || a || stroke. || What || actions || may || the || nurse || delegate || to || the || unlicensed || assistive || personnel || (UAP)? || (Select || all || that || apply.) a. || Assess || neurologic || status || with || the || Glasgow || Coma || Scale. b. || Check || and || document || oxygen || saturation || every || 1 || to || 2 || hours. c. || Cluster || client || care || to || allow || periods || of || uninterrupted || rest. d. || Elevate || the || head || of || the || bed || to || 45 || degrees || to || prevent || aspiration. e. || Position || the || client || supine || with || the || head || in || a || neutral || midline || position. || - || ✔✔ANS: || B,E The || UAP || can || take || and || document || vital || signs, || including || oxygen || saturation, || and || keep || the || client's || head || in || a || neutral, || midline || position || with || correct || direction || from || the || nurse. || The || nurse || assesses || the || Glasgow || Coma || Scale || score. || The || nursing || staff || should || not || cluster || care || because || this || can || cause || an || increase || in || the || intracranial || pressure. || The || head || of || the || bed || should || be || minimally || elevated, || up || to || 30 || degrees.
A || nurse || has || applied || to || work || at || a || hospital || that || has || National || Stroke || Center || designation. || The || nurse || realizes || the || hospital || adheres || to || eight || Core || Measures || for || ischemic || stroke || care. || What || do || these || Core || Measures || include? || (Select || all || that || apply.) A. || Discharging || the || client || on || a || statin || medication b. || Providing || the || client || with || comprehensive || therapies c. || Meeting || goals || for || nutrition || within || 1 || week d. || Providing || and || charting || stroke || education e. || Preventing || venous || thromboembolism || - || ✔✔ANS:A,D,E Core || Measures || established || by || The || Joint || Commission || include || discharging || stroke || clients || on || statins, || providing || and || recording || stroke || education, || and || taking || measures || to || prevent || venous || thromboembolism. || The || client || must || be || assessed || for || therapies || but || may || go || elsewhere || for || them. || Nutrition || goals || are || not || part || of || the || Core || Measures. A || nurse || is || working || with || many || stroke || clients. || Which || clients || would || the || nurse || consider || referring || to || a || mental || health || provider || on || discharge? || (Select || all || that || apply.) a. || Client || who || exhibits || extreme || emotional || lability b. || Client || with || an || initial || National || Institutes || of || Health || (NIH) || Stroke || Scale || score || of || 38 c. || Client || with || mild || forgetfulness || and || a || slight || limp d. || Client || who || has || a || past || hospitalization || for || a || suicide || attempt e. || Client || who || is || unable || to || walk || or || eat || 3 || weeks || post-stroke || - || ✔✔ANS:A,B,D,E Clients || most || at || risk || for || post-stroke || depression || are || those || with || a || previous || history || of || depression, || severe || stroke || (NIH || Stroke || Scale || score || of || 38 || is || severe), || and || post-stroke || physical || or || cognitive || impairment. || The || client || with || mild || forgetfulness || and || a || slight || limp || would || be || a || low || priority || for || this || referral. A || nursing || student || is || caring || for || a || client || with || leukemia. || The || student || asks || why || the || client || is || still || at || risk || for || infection || when || the || client's || white || blood || cell || count || (WBC) || is || high. || What || response || by || the || registered || nurse || is || best? a. || "If || the || WBCs || are || high, || there || already || is || an || infection || present." b. || "The || client || is || in || a || blast || crisis || and || has || too || many || WBCs."
A || nursing || student || is || struggling || to || understand || the || process || of || graft-versus-host || disease. || What || explanation || by || the || nurse || instructor || is || best? a. || "Because || of || immunosuppression, || the || donor || cells || take || over." b. || "It's || like || a || transfusion || reaction || because || no || perfect || matches || exist." c. || "The || client's || cells || are || fighting || donor || cells || for || dominance." d. || "The || donor's || cells || are || actually || attacking || the || client's || cells." || - || ✔✔ANS:D Graft || versus || host || disease || is || an || autoimmune-type || process || in || which || the || donor || cells || recognize || the || client's || cells || as || foreign || and || begin || attacking || them. || The || other || answers || are || not || accurate. The || nurse || is || caring || for || a || client || with || leukemia || who || has || the || priority || problem || of || fatigue. || What || action || by || the || client || best || indicates || that || an || important || goal || for || this || problem || has || been || met? a. || Doing || activities || of || daily || living || (ADLs) || using || rest || periods b. || Helping || plan || a || daily || activity || schedule c. || Requesting || a || sleeping || pill || at || night d. || Telling || visitors || to || leave || when || fatigued || - || ✔✔ANS:A Fatigue || is || a || common || problem || for || clients || with || leukemia. || This || client || is || managing || his || or || her || own || ADLs || using || rest || periods, || which || indicates || an || understanding || of || fatigue || and || how || to || control || it. || Helping || to || plan || an || activity || schedule || is || a || lesser || indicator. || Requesting || a || sleeping || pill || does || not || help || control || fatigue || during || the || day. || Asking || visitors || to || leave || when || tired || is || another || lesser || indicator. || Managing || ADLs || using || rest || periods || demonstrates || the || most || comprehensive || management || strategy. A || nurse || is || caring || for || a || young || male || client || with || lymphoma || who || is || to || begin || treatment. || What || teaching || topic || is || a || priority? a. || Genetic || testing b. || Infection || prevention c. || Sperm || banking
d. || Treatment || options || - || ✔✔ANS:C All || teaching || topics || are || important || to || the || client || with || lymphoma, || but || for || a || young || male, || sperm || banking || is || of || particular || concern || if || the || client || is || going || to || have || radiation || to || the || lower || abdomen || or || pelvis. A || client || has || been || admitted || after || sustaining || a || humerus || fracture || that || occurred || when || picking || up || the || family || cat. || What || test || result || would || the || nurse || correlate || to || this || condition? a. || Bence-Jones || protein || in || urine b. || Epstein-Barr || virus: || positive c. || Hemoglobin: || 18 || mg/dL d. || Red || blood || cell || count: || 8.2/mm3 || - || ✔✔ANS:A This || client || has || possible || multiple || myeloma. || A || positive || Bence-Jones || protein || finding || would || correlate || with || this || condition. || The || Epstein-Barr || virus || is || a || herpesvirus || that || causes || infectious || mononucleosis || and || some || cancers. || A || hemoglobin || of || 18 || mg/dL || is || slightly || high || for || a || male || and || somewhat || high || for || a || female; || this || can || be || caused || by || several || conditions, || and || further || information || would || be || needed || to || correlate || this || value || with || a || specific || medical || condition. || A || red || blood || cell || count || of || 8.2/mm3 || is || also || high, || but || again, || more || information || would || be || needed || to || correlate || this || finding || with || a || specific || medical || condition A || client || with || multiple || myeloma || demonstrates || worsening || bone || density || on || diagnostic || scans. || About || what || drug || does || the || nurse || plan || to || teach || this || client? a. || Bortezomib || (Velcade) b. || Dexamethasone || (Decadron) c. || Thalidomide || (Thalomid) d. || Zoledronic || acid || (Zometa) || - || ✔✔ANS:D All || the || options || are || drugs || used || to || treat || multiple || myeloma, || but || the || drug || used || specifically || for || bone || manifestations || is || zoledronic || acid || (Zometa), || which || is || a || bisphosphonate. || This || drug || class || inhibits || bone || resorption || and || is || used || to || treat || osteoporosis || as || well.
The || client || who || had || two || bloody || diarrhea || stools || that || morning || may || be || hemorrhaging || in || the || gastrointestinal || (GI) || tract || and || should || be || assessed || first. || The || client || with || the || change || in || respiratory || rate || may || have || an || infection || or || worsening || anemia || and || should || be || seen || next. || The || other || two || clients || are || not || a || priority || at || this || time. A || client || has || frequent || hospitalizations || for || leukemia || and || is || worried || about || functioning || as || a || parent || to || four || small || children. || What || action || by || the || nurse || would || be || most || helpful? a. || Assist || the || client || to || make || "sick || day" || plans || for || household || responsibilities. b. || Determine || if || there || are || family || members || or || friends || who || can || help || the || client. c. || Help || the || client || inform || friends || and || family || that || they || will || have || to || help || out. d. || Refer || the || client || to || a || social || worker || in || order || to || investigate || respite || child || care. || - || ✔✔ANS:A While || all || options || are || reasonable || choices, || the || best || option || is || to || help || the || client || make || sick || day || plans, || as || that || is || more || comprehensive || and || inclusive || than || the || other || options, || which || focus || on || a || single || item. A || student || studying || leukemias || learns || the || risk || factors || for || developing || this || disorder. || Which || risk || factors || does || this || include? || (Select || all || that || apply.) a. || Chemical || exposure b. || Genetically || modified || foods c. || Ionizing || radiation || exposure d. || Vaccinations e. || Viral || infections || - || ✔✔ANS:A,C,E Chemical || and || ionizing || radiation || exposure || and || viral || infections || are || known || risk || factors || for || developing || leukemia. || Eating || genetically || modified || food || and || receiving || vaccinations || are || not || known || risk || factors. A || client || has || Hodgkin's || lymphoma, || Ann || Arbor || stage || Ib. || For || what || manifestations || should || the || nurse || assess || the || client? || (Select || all || that || apply.) a. || Headaches
b. || Night || sweats c. || Persistent || fever d. || Urinary || frequency e. || Weight || loss || - || ✔✔ANS:B,C,E In || this || stage, || the || disease || is || located || in || a || single || lymph || node || region || or || a || single || non-lymph || node || site. || The || client || displays || night || sweats, || persistent || fever, || and || weight || loss. || Headache || and || urinary || problems || are || not || related. A || client || has || received || a || bone || marrow || transplant || and || is || waiting || for || engraftment. || What || actions || by || the || nurse || are || most || appropriate? || (Select || all || that || apply.) a. || Not || allowing || any || visitors || until || engraftment b. || Limiting || the || protein || in || the || client's || diet c. || Placing || the || client || in || protective || precautions d. || Teaching || visitors || appropriate || hand || hygiene e. || Telling || visitors || not || to || bring || live || flowers || or || plants || - || ✔✔ANS:C,D,E The || client || waiting || for || engraftment || after || bone || marrow || transplant || has || no || white || cells || to || protect || him || or || her || against || infection. || The || client || is || on || protective || precautions || and || visitors || are || taught || hand || hygiene. || No || fresh || flowers || or || plants || are || allowed || due || to || the || standing || water || in || the || vase || or || container || that || may || harbor || organisms. || Limiting || protein || is || not || a || healthy || option || and || will || not || promote || engraftment. A || student || nurse || asks || the || nursing || instructor || what || "apoptosis" || means. || What || response || by || the || instructor || is || best? a. || Growth || by || cells || enlarging b. || Having || the || normal || number || of || chromosomes c. || Inhibition || of || cell || growth d. || Programmed || cell || death || - || ✔✔ANS:D Apoptosis || is || programmed || cell || death. || With || this || characteristic, || organs || and || tissues || function || with || cells || that || are || at || their || peak || of || performance. || Growth || by || cells || enlarging || is ||
Bloodborne || metastasis || is || the || most || common || way || for || cancer || to || metastasize. || Direct || invasion || and || lymphatic || spread || are || other || methods. || Bone || marrow || is || not || a || medium || in || which || cancer || spreads, || although || cancer || can || occur || in || the || bone || marrow. A || nurse || is || assessing || a || client || with || glioblastoma. || What || assessment || is || most || important? a. || Abdominal || palpation b. || Abdominal || percussion c. || Lung || auscultation d. || Neurologic || examination || - || ✔✔ANS:D A || glioblastoma || arises || in || the || brain. || The || most || important || assessment || for || this || client || is || the || neurologic || examination. A || nurse || has || taught || a || client || about || dietary || changes || that || can || reduce || the || chances || of || developing || cancer. || What || statement || by || the || client || indicates || the || nurse || needs || to || provide || additional || teaching? a. || "Foods || high || in || vitamin || A || and || vitamin || C || are || important." b. || "I'll || have || to || cut || down || on || the || amount || of || bacon || I || eat." c. || "I'm || so || glad || I || don't || have || to || give || up || my || juicy || steaks." d. || "Vegetables, || fruit, || and || high-fiber || grains || are || important." || - || ✔✔ANS:C To || decrease || the || risk || of || developing || cancer, || one || should || cut || down || on || the || consumption || of || red || meats || and || animal || fat. || The || other || statements || are || correct. A || client || is || in || the || oncology || clinic || for || a || first || visit || since || being || diagnosed || with || cancer. || The || nurse || reads || in || the || client's || chart || that || the || cancer || classification || is || TISN0M0. || What || does || the || nurse || conclude || about || this || client's || cancer? a. || The || primary || site || of || the || cancer || cannot || be || determined. b. || Regional || lymph || nodes || could || not || be || assessed. c. || There || are || multiple || lymph || nodes || involved || already. d. || There || are || no || distant || metastases || noted || in || the || report. || - || ✔✔ANS:D
TIS || stands || for || carcinoma || in || situ; || N0 || stands || for || no || regional || lymph || node || metastasis; || and || M0 || stands || for || no || distant || metastasis. A || client || asks || the || nurse || if || eating || only || preservative- || and || dye-free || foods || will || decrease || cancer || risk. || What || response || by || the || nurse || is || best? a. || "Maybe; || preservatives, || dyes, || and || preparation || methods || may || be || risk || factors." b. || "No; || research || studies || have || never || shown || those || things || to || cause || cancer." c. || "There || are || other || things || you || can || do || that || will || more || effectively || lower || your || risk." d. || "Yes; || preservatives || and || dyes || are || well || known || to || be || carcinogens." || - || ✔✔ANS:A Dietary || factors || related || to || cancer || development || are || poorly || understood, || although || dietary || practices || are || suspected || to || alter || cancer || risk. || Suspected || dietary || risk || factors || include || low || fiber || intake || and || a || high || intake || of || red || meat || or || animal || fat. || Preservatives, || preparation || methods, || and || additives || (dyes, || flavorings, || sweeteners) || may || have || cancer-promoting || effects. || It || is || correct || to || say || that || other || things || can || lower || risk || more || effectively, || but || this || does || not || give || the || client || concrete || information || about || how || to || do || so, || and || also || does || not || answer || the || client's || question. The || nursing || student || learning || about || cancer || development || remembers || characteristics || of || normal || cells. || Which || characteristics || does || this || include? || (Select || all || that || apply.) a. || Differentiated || function b. || Large || nucleus-to-cytoplasm || ratio c. || Loose || adherenced. || Nonmigratory e. || Specific || morphology || - || ✔✔ANS:A,D,E Normal || cells || have || the || characteristics || of || differentiated || function, || nonmigratory, || specific || morphology, || a || smaller || nucleus-to-cytoplasm || ratio, || tight || adherence, || and || orderly || and || well- regulated || growth. The || nurse || working || with || oncology || clients || understands || that || interacting || factors || affect || cancer || development. || Which || factors || does || this || include? || (Select || all || that || apply.) a. || Exposure || to || carcinogens
discharge, || thickening || or || lump || in || the || breast || or || elsewhere, || indigestion || or || difficulty || swallowing, || obvious || change || in || a || wart || or || mole, || and || nagging || cough || or || hoarseness. || Abdominal || pain || is || not || a || warning || sign. A || nurse || cares || for || an || older || adult || client || who || has || a || chronic || skin || disorder. || The || client || states, || "I || have || not || been || to || church || in || several || weeks || because || of || the || discoloration || of || my || skin." || How || should || the || nurse || respond? a. || "I || will || consult || the || chaplain || to || provide || you || with || spiritual || support." b. || "You || do || not || need || to || go || to || church; || God || is || everywhere." c. || "Tell || me || more || about || your || concerns || related || to || your || skin." d. || "Religious || people || are || nonjudgmental || and || will || accept || you." || - || ✔✔ANS:C Clients || with || chronic || skin || disorders || often || become || socially || isolated || related || to || the || fear || of || rejection || by || others. || Nurses || should || assess || how || the || client's || skin || changes || are || affecting || the || client's || body || image || and || encourage || the || client || to || express || his || or || her || feelings || about || a || change || in || appearance. || The || other || responses || are || not || appropriate. A || nurse || assesses || an || older || adult's || skin. || Which || findings || require || immediate || referral? || (Select || all || that || apply.) a. || Excessive || moisture || under || axilla b. || Increased || hair || thinning c. || Increased || presence || of || fungal || toenails d. || Lesion || with || various || colors e. || Spider || veins || on || legs f. || Asymmetric || 6-mm || dark || lesion || on || forehead || - || ✔✔ANS:D,F The || lesion || with || various || colors, || as || well || as || the || asymmetric || 6-mm || dark || lesion, || fits || two || of || the || American || Cancer || Society's || hallmark || signs || for || cancer || according || to || the || ABCD || method. || Other || manifestations || are || variants || of || normal || seen || in || various || age || groups.
A || nurse || teaches || a || client || to || perform || total || skin || self-examinations || on || a || monthly || basis. || Which || statements || should || the || nurse || include || in || this || client's || teaching? || (Select || all || that || apply.) a. || "Look || for || asymmetry || of || shape || and || irregular || borders." b. || "Assess || for || color || variation || within || each || lesion." c. || "Examine || the || distribution || of || lesions || over || a || section || of || the || body." d. || "Monitor || for || edema || or || swelling || of || tissues." e. || "Focus || your || assessment || on || skin || areas || that || itch." || - || ✔✔ANS:A,B Clients || should || be || taught || to || examine || each || lesion || following || the || ABCDE || features || associated || with || skin || cancer: || asymmetry || of || shape, || border || irregularity, || color || variation || within || one || lesion, || diameter || greater || than || 6 || mm, || and || evolving || or || changing || in || any || feature. The || nurse || is || examining || a || woman's || breast || and || notes || multiple || small || mobile || lumps. || Which || question || would || be || the || most || appropriate || for || the || nurse || to || ask? a. || "When || was || your || last || mammogram || at || the || clinic?" b. || "How || many || cans || of || caffeinated || soda || do || you || drink || in || a || day?" c. || "Do || the || small || lumps || seem || to || change || with || your || menstrual || period?" d. || "Do || you || have || a || first-degree || relative || who || has || breast || cancer?" || - || ✔✔ANS:C The || most || appropriate || question || would || be || one || that || relates || to || benign || lesions || that || usually || change || in || response || to || hormonal || changes || within || a || menstrual || cycle. || Reduction || of || caffeine || in || the || diet || has || been || shown || to || give || relief || in || fibrocystic || breast || conditions, || but || research || has || not || found || that || it || has || a || significant || impact. || Questions || related || to || the || client's || last || mammogram || or || breast || cancer || history || are || not || related || to || the || nurse's || assessment. Which || finding || in || a || female || client || by || the || nurse || would || receive || the || highest || priority || of || further || diagnostics? a. || Tender || moveable || masses || throughout || the || breast || tissue b. || A || 3-cm || firm, || defined || mobile || mass || in || the || lower || quadrant || of || the || breast c. || Nontender || immobile || mass || in || the || upper || outer || quadrant || of || the || breast
