The nurse is caring for a client with breast cancer. On evaluation of axillary findings, a potential sign of cancer spread is documented and brought to the physician's attention. Which finding is documented?

Fluid accumulation under the arm.

Drainage from the area.

Reddened area around the breast.

Enlargement of the arm or hand.

Answer and Explanation

The Correct Answer is A

Fluid accumulation under the arm. The presence of fluid accumulation (edema) under the arm may indicate the spread of breast cancer to the lymph nodes. The physician should be notified, and further evaluation and treatment may be necessary.

Option B: Drainage from the area is not a correct answer as it may indicate a surgical site infection or an abscess, but not necessarily the spread of cancer.

Option C: Reddened area around the breast is not a correct answer as it may indicate a skin infection or inflammation, but not necessarily the spread of cancer.

Option D: Enlargement of the arm or hand is not a correct answer as it may indicate lymphedema, which is a swelling due to lymphatic system damage, but not necessarily the spread of cancer.

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Correct Answer is ["A","C","D","E"]

Explanation

NSAIDs, corticosteroids, topical analgesics, and TENS units are medications that may be used to help degenerative joint disorders. NSAIDs, such as ibuprofen, naproxen, and aspirin, help to reduce inflammation and relieve pain. Corticosteroids, such as prednisone, are powerful anti-inflammatory agents used for severe symptoms. Topical analgesics, such as creams or patches, can help relieve localized pain. TENS units use electrical stimulation to reduce pain and improve function. Aspirin is not a medication commonly used for degenerative joint disorders.

A. Impaired Mobility. B. Impaired Gas Exchange. C. Self-Care Deficit. D. Diarrhea.

Correct Answer is B

Explanation

Impaired Gas Exchange. Impaired gas exchange is the greatest concern in the immediate postoperative period for a client recovering from bariatric surgery, as the client may have difficulty breathing due to anesthesia, pain medication, or obesity-related respiratory problems.

Option A, Impaired Mobility, is a concern but not the greatest concern in the immediate postoperative period.

Option C, Self-Care Deficit, may be an issue but is not the greatest concern in the immediate postoperative period.

Option D, Diarrhea, may occur after bariatric surgery but is not the greatest concern in the immediate postoperative period.

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The nurse is caring for a client with breast cancer. On evaluation of axillary findings, a potential sign of cancer spread is documented and brought to the physician's attention. Which finding is documented?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client with a degenerative joint disorder and is providing education about different medications that may be used to help the disorder. The nurse provides education for (SATA):.

Correct Answer is ["A","C","D","E"]

Explanation

A client, who is recovering from bariatric surgery, is returning from the post-anesthesia care unit. Which nursing assessment is of greatest concern in the immediate postoperative period for this client?

Correct Answer is B

Explanation

An older adult female has a bone density test that reveals severe osteoporosis. What does the nurse understand can be a problem for this client due to the decrease in bone mass and density?

The nurse is caring for a group of breast cancer survivors postmastectomy. When developing a list of instructions of points to avoid, which point is highlighted?

The nurse is obtaining a history on a client stating nocturia. When evaluating the client's evening behaviors, which may be the cause of the problem?

Following a serious thermal burn, which complication will the nurse take action to prevent first?

The nurse is caring for a client with a head injury after a fall from a hayloft. Which of the following indicates the presence of leaking of cerebral spinal fluid (CSF)?

The nurse is caring for a client experiencing hearing loss. The nurse uses the otoscope and notes a significant accumulation of cerumen. Which hearing loss type would be most accurate?

A client on a prescribed medication for a skin disorder visits the clinic complaining of a skin rash. Which of the following would explain the client's condition?

An older adult male client is participating in bladder training for urinary incontinence. The nurse advises him to wear a pad. Which suggestion would be most appropriate to help the client?