Nokea
Which statement by the client indicates that she understands BSE?
- A. I will examine both breasts in two different positions.'
- B. I will examine my breasts 1 week after my menstrual period starts.'
- C. I will examine only the outer upper area of the breast.'
- D. I will use the palm of the hand to perform the examination.'
Correct Answer: B
Rationale: The client should examine her breasts when hormonal influences are at their lowest, ideally 1 week after menstruation.
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A hospital has achieved Magnet status. Which indicators would be consistent with this type of certification?
- A. There is stratification of communication in a directed manner between nursing staff and administration.
- B. There is increased job satisfaction of nurses, with a lower staff turnover rate.
- C. Physicians are certified in their respective specialty areas.
- D. All nurses have baccalaureate degrees and certification in their clinical specialty area.
Correct Answer: B
Rationale: The correct answer is B. Magnet status focuses on nursing excellence, including job satisfaction and low turnover rates. A is incorrect as it describes hierarchical communication. C is irrelevant to nursing excellence. D is incorrect as while education and certification are important, they are not mandatory for Magnet status.
Nurses must remember that pregnancy is a time of risk for all women. Which condition is likely the biggest risk for the pregnant client?
- A. Preeclampsia
- B. IPV
- C. Diabetes
- D. Abnormal Pap test
Correct Answer: B
Rationale: IPV during pregnancy is more common than preeclampsia, gestational diabetes, or abnormal Pap tests, and poses greater risks.
What is a risk factor for breast cancer?
- A. menarche at age 15
- B. family history of diabetes
- C. alcohol use of at least 2 drinks per day
- D. history of three vaginal births by age 25
Correct Answer: C
Rationale: The correct answer is C: alcohol use of at least 2 drinks per day. Alcohol consumption has been consistently linked to an increased risk of breast cancer. Alcohol can raise estrogen levels in the body, thereby increasing the risk of developing breast cancer. Menarche at age 15 (choice A) is not a risk factor as early menarche is associated with a slightly decreased risk. Family history of diabetes (choice B) and history of three vaginal births by age 25 (choice D) are not directly linked to breast cancer risk.
The nurse would advise the patient to report what symptom immediately during a PD-1 (checkpoint inhibitor) infusion?
- A. nausea
- B. fatigue
- C. dizziness
- D. diarrhea
Correct Answer: C
Rationale: The correct answer is C: dizziness. Dizziness during a PD-1 infusion can indicate a potential serious adverse reaction, such as immune-related neurological toxicity. Prompt reporting is crucial to prevent complications. Nausea, fatigue, and diarrhea are common side effects of PD-1 inhibitors but are typically not considered immediate concerns for infusion reactions. Reporting dizziness ensures timely assessment and intervention to manage any severe adverse effects.
Through the use of social media technology, nurses can link with other nurses who may share similar interests, insights about practice, and advocate for clients. Which factor is the most concerning pitfall for nurses using this technology?
- A. Violation of client privacy and confidentiality
- B. Institutions and colleagues who may be cast in an unfavorable light
- C. Unintended negative consequences for using social media
- D. Lack of institutional policy governing online contact
Correct Answer: A
Rationale: The most significant pitfall is the violation of client privacy and confidentiality.