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Nurs_344_01_sp26_med Surg Exam 3 Proctored Exam
Total Questions : 55
Showing 10 questions, Sign in for moreWhich of the following vitamins are better absorbed after diet with fats? Select all that apply.
The nurse instructs a female client on breast self-examination. Which part of the breast should the nurse explain as being the area where most cancers occur? Please mark the area on the diagram.
Select your answer by clicking the desired location on the image below. To move a pin, click another location on the image. To remove a pin, click it once.
Explanation
Breast self-examination (BSE) helps clients become familiar with the normal appearance and feel of their breasts so that changes can be identified and reported promptly. During teaching, nurses should emphasize that breast cancer can occur anywhere in the breast, but certain areas are more commonly affected than others.
Rationale:
The upper outer quadrant (UOQ) of the breast, including the tail of Spence (the extension of breast tissue into the axilla), is the site where most breast cancers develop. This area contains the greatest concentration of glandular breast tissue, which is the tissue from which many breast cancers originate. When performing breast self-examination, the client should carefully assess the entire breast tissue, the upper outer quadrant, the axillary (underarm) area, and the tail of Spence. Because a large percentage of breast malignancies occur in this region, thorough examination of the upper outer quadrant and axilla is especially important. The upper inner quadrant contains less glandular tissue than the upper outer quadrant. Breast cancer can occur here, but it is less common. The lower outer quadrant has a lower incidence of breast cancer compared with the upper outer quadrant. Still requires assessment during BSE. The lower inner quadrant represents one of the less common locations for breast cancer development. Should be examined but is not the area where most cancers occur. Some breast cancers can develop near or beneath the nipple, causing nipple retraction or discharge. However, this is not the most common site of breast cancer occurrence.
The nurse plans to assess a client's liver border. Which area of the abdomen is the nurse going to assess? Select your answer by clicking the desired location on the image below. To move a pin, click another location on the image. To remove a pin, click it once
Explanation
Assessment of the liver is an important component of the abdominal examination. The nurse may inspect, palpate, and percuss the liver to determine its size, location, and whether enlargement or tenderness is present. Knowledge of abdominal quadrants helps the nurse identify the correct area for assessment.
Rationale:
The liver is located primarily in the right upper quadrant (RUQ) of the abdomen, just beneath the diaphragm and protected by the lower ribs. To assess the liver border, the nurse typically percusses downward from the chest and upward from the abdomen to identify the upper and lower liver margins. Assessment of the liver border helps determine liver size, presence of hepatomegaly (enlarged liver), and changes associated with liver disease, heart failure, or other conditions. Because the liver lies predominantly in the RUQ, this is the area the nurse should assess.
A male client tells the nurse that his occupation requires heavy lifting and a great deal of strenuous activity. The nurse should assess the client for
A nurse just admitted a female patient who has temperature 100 °F, blood pressure 100/58 mm Hg, SpO2 saturation of 90% on room air. The abnormal lab results include WBC 15,000 (15 × 10⁹/L), hemoglobin 10 g/dl, and hematocrit 28 %. Based on the analysis of the data, which of the following client concerns is a priority?
A nurse is receiving report from the night shift about four clients. Which client would the nurse see first?
People who fidget have higher energy expenditure than people who do not.
A clinic nurse is admitting a teenage client with complaints of itching and burning in his genital area. He tells you "I am sure I have a sexually transmitted infection. This will be the third one in 3 months." What intervention would be most appropriate with this client?
The nurse is assessing an older adult client who lives alone and was brought to the clinic by the client's grandson. The client's hair is messy, clothes are unclean, and the client has very bad body odor. The grandson reported that patient has been taking care of himself. What do these signs most likely indicate to the nurse?
A client with well-controlled type 2 diabetes has increased blood sugar readings while in the hospital recovering from a non-elected surgery. Which factor may have contributed to the client's inordinately elevated blood glucose levels?
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