A nurse in a community health clinic is conducting a health screening for a male client. For which of the following findings should the nurse recommend the client follow up with his provider?

A decrease in skinfold thickness

A triglyceride level of 150 mg/dL

A random blood glucose reading of 160 mg/dL

A mole that, is dark in color and tender

Answer and Explanation

The Correct Answer is D

A. A decrease in skinfold thickness: A decrease in skinfold thickness could be due to loss of subcutaneous fat, which might not be immediately concerning without other symptoms.
B. A triglyceride level of 150 mg/dL: A triglyceride level of 150 mg/dL is generally considered within normal limits.
C. A random blood glucose reading of 160 mg/dL: A random blood glucose reading of 160 mg/dL is elevated and could indicate impaired glucose tolerance, warranting further investigation.
D. A mole that is dark in color and tender: A dark, tender mole could be a sign of a potentially malignant melanoma and should be evaluated by a provider for further investigation and potential biopsy.

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Correct Answer is A

Explanation

A. "If I continue to breathe in carbon monoxide, I could become unconscious." This is correct. Continued exposure to carbon monoxide can lead to unconsciousness and even death.
B. "If there is carbon monoxide in my house. I'll be able to smell it." This is incorrect. Carbon monoxide is a colorless and odorless gas, making it impossible to detect by smell.
C. "I have a gas furnace, so I don't have to worry about carbon monoxide." This is incorrect. Gas furnaces can produce carbon monoxide, especially if they are not properly ventilated or maintained.
D. "I will change the battery in my carbon dioxide detector every 2 years." This is incorrect. The batteries in carbon monoxide detectors should be changed more frequently, typically every 6-12 months, to ensure they function properly.

A. "Report a firm ridge below the breasts to the provider." B. "Keep your arm relaxed at your side on the side you are examining." C. "Use your thumb and forefinger to palpate each breast for lumps." D. "Use firm pressure to palpate near the area of the ribs and chest wall."

Correct Answer is D

Explanation

A. "Report a firm ridge below the breasts to the provider." A firm ridge along the bottom curve of the breast can be normal. It’s important to distinguish between normal breast tissue and abnormal lumps. Encouraging clients to report any changes or new lumps to the provider is more appropriate.
B. "Keep your arm relaxed at your side on the side you are examining." The correct technique involves raising the arm on the side being examined to help spread out the breast tissue, making it easier to palpate for lumps and abnormalities.
C. "Use your thumb and forefinger to palpate each breast for lumps." The correct technique involves using the pads of the fingers (not the thumb and forefinger) to palpate the breast in a systematic pattern, such as circular motions or vertical strips, to thoroughly check all areas of the breast.
D. "Use firm pressure to palpate near the area of the ribs and chest wall." Using firm pressure is appropriate for palpating deeper tissues closer to the ribs and chest wall, as this helps detect lumps that may not be superficial.

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A nurse in a community health clinic is conducting a health screening for a male client. For which of the following findings should the nurse recommend the client follow up with his provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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