The nurse is performing an assessment on a client with a diagnosis of pernicious anemia.

Which finding would the nurse expect to note in this client?

Dusky mucous membranes

Red tongue that is smooth and sore

Shortness of breath on exertion

Dyspnea

Answer and Explanation

The Correct Answer is B

A.   Dusky mucous membranes are not typically associated with pernicious anemia.
B.   A red tongue that is smooth and sore is a common finding in pernicious anemia due to vitamin B12 deficiency, which affects the epithelial cells of the tongue.
C.   Shortness of breath on exertion can occur in many types of anemia but is not specific to pernicious anemia.
D.   Dyspnea is also a common symptom in various anemias but is not as characteristic as the red, smooth, and sore tongue in pernicious anemia.

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

Explanation

A. Feeling for changes in the underarm area is important as breast tissue extends into this region and lumps can form there.
B. Since menopausal women do not have periods, they can perform BSE at any consistent time each month to help remember to do it regularly.
C. Pressing the breasts too firmly could cause discomfort and is not necessary for detecting lumps.
D. Performing BSE in the shower is effective because the soapy water allows the fingers to move smoothly over the skin.
E. Using fingertips is the proper technique for checking breasts, as it allows for more sensitivity in detecting changes in the breast tissue.

A. "Conscious sedation will be administered to you prior to the procedure." B. "The results of the biopsy will be immediately available." C. "You may place a heating pad on the breast to relieve discomfort following the procedure." D. "You should wear a well-fitting bra to minimize bruising following the procedure."

Correct Answer is D

Explanation

A. "Conscious sedation will be administered to you prior to the procedure." Needle aspiration breast biopsies typically use local anesthesia, not conscious sedation.
B. "The results of the biopsy will be immediately available." Biopsy results usually take a few days to be processed and reviewed.
C. "You may place a heating pad on the breast to relieve discomfort following the procedure." Applying a cold pack, rather than a heating pad, is generally recommended to reduce swelling and bruising.
D. "You should wear a well-fitting bra to minimize bruising following the procedure." Wearing a well-fitting bra can provide support and help minimize bruising and discomfort after the
procedure.

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The nurse is performing an assessment on a client with a diagnosis of pernicious anemia. Which finding would the nurse expect to note in this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing breast self-examination (BSE) teaching with a client who is menopausal. Which of the following statements by the client indicate an understanding of the teaching? (Select all that apply.)

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

Explanation

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Correct Answer is D

Explanation

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The nurse is performing an assessment on a client with a diagnosis of pernicious anemia.

Which finding would the nurse expect to note in this client?