A postmenopausal woman is worried about pain in the upper outer quadrant of her left breast. The nurse's first course of action is to
1. do a breast examination and report the results to the physician.
2. explain that pain is caused by hormonal fluctuations.
3. reassure the client that pain is not a symptom of breast cancer.
4. teach the client the correct procedure for breast self-examination (BSE).
<引用>
Lippincott's Review for NCLEX-RN by Diane M. Billings
Jan 15, 2002
The nurse teaches the client with an ileal conduit measures to prevent a urinary tract infection. Which of the following measures would be most effective?
1. Avoid people with respiratory tract infections.
2. Maintain a daily fluid intake of 2000 to 3000 mL.
3. Use sterile technique to change the appliance.
4. Irrigate the stoma daily.
<引用>
Lippincott's Review for NCLEX-RN by Diane M. Billings
Jan 15, 2002
今日の問題はこれ！！
1.After the nurse instructs a 20-year-old nulligravid client on how to perform a breast self-examination, which of the following client statements indicates that the teaching has been successful?
1."I should perform breast self-examination on the day my menstrual flow begins."
2."It's important that I perform breast self-examination on the same day each month."
3."If I notice that one of my breasts is much smaller than the other, I shouldn't worry."
4."If there is some discharge from my nipples, I should avoid squeezing them."
引用
Lippincott's Review for NCLEX-RN (Book with CD-Rom for Windows）
by Diane M. Billings
Paperback - Jan 15, 2002