Nokea
To do an effective breast self-examination, when should the woman examine her breasts?
- A. During the fourth to the seventh menstrual cycle day
- B. Every other month
- C. While standing up
- D. 1 week before the menstrual cycle
Correct Answer: A
Rationale: The correct answer is A: During the fourth to the seventh menstrual cycle day. This is because breasts are least likely to be swollen or tender during this time, allowing for a more accurate examination. Choice B is incorrect as regular monthly examinations are recommended. Choice C can be done while standing up or lying down. Choice D is incorrect as breasts may be more tender and swollen closer to the menstrual cycle, making it harder to detect abnormalities.
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A 55-year-old smoker who is normally in good health reports having had a bad cough for the past 3 weeks. He does not have crackles, rhonchi, or discolored blood-tinged sputum. What would you expect his physician to rule out?
- A. Asthma.
- B. Pneumonia.
- C. The flu.
- D. Lung cancer.
Correct Answer: D
Rationale: Persistent cough in smokers raises suspicion for lung cancer.
Joan is diagnosed with a ruptured aneurysm. She wonders why this was not picked up in her annual physical. You respond by saying
- A. The physician must have misread the x-ray.
- B. The aneurysm must have developed since the physical.
- C. Aneurysms are often asymptomatic.
- D. Do not be too concerned because this happens all the time.
Correct Answer: C
Rationale: Aneurysms can develop silently without noticeable symptoms.
A client has undergone the Snellen eye chart and has 20/40 vision. Which of the following is true for this client?
- A. The client sees letters at 20 feet that others can read at 40 feet
- B. The client sees letters at 40 feet that others can read at 20 feet
- C. The client sees colors at 20 feet that others can see at 40 feet
- D. The client sees colors at 40 feet that others can see at 20 feet
Correct Answer: A
Rationale: 20/40 vision means the client can see at 20 feet what a person with normal vision can see at 40 feet.
A patient with sickle cell anemia will be given supplemental oxygen and which of the following?
- A. IV fluids to adequately hydrate.
- B. Narcotic pain management when pain is severe.
- C. Transfusion of red blood cells to correct anemia.
- D. All of the above.
Correct Answer: D
Rationale: Sickle cell anemia patients often require comprehensive treatment including hydration, pain management, and blood transfusions to manage complications.
You are reviewing your client's understanding of the post-operative stapedectomy instructions that you gave several days ago. Which comment concerns you the most?
- A. I'm going to take swimming lessons in a couple of months.'
- B. I have to take a long overseas flight in several weeks.'
- C. I can't wait to get back to my regular weightlifting class.'
- D. I have been coughing a lot with my mouth open.'
Correct Answer: C
Rationale: Weightlifting can increase intracranial pressure and compromise the surgical site, posing a risk to recovery.