The nurse is caring for a client with breast cancer. On evaluation of axillary findings, a potential sign of cancer spread is documented and brought to the physician's attention. Which finding is documented?

Fluid accumulation under the arm.

Drainage from the area.

Reddened area around the breast.

Enlargement of the arm or hand.

Answer and Explanation

The Correct Answer is A

Fluid accumulation under the arm. The presence of fluid accumulation (edema) under the arm may indicate the spread of breast cancer to the lymph nodes. The physician should be notified, and further evaluation and treatment may be necessary.

Option B: Drainage from the area is not a correct answer as it may indicate a surgical site infection or an abscess, but not necessarily the spread of cancer.

Option C: Reddened area around the breast is not a correct answer as it may indicate a skin infection or inflammation, but not necessarily the spread of cancer.

Option D: Enlargement of the arm or hand is not a correct answer as it may indicate lymphedema, which is a swelling due to lymphatic system damage, but not necessarily the spread of cancer.

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Correct Answer is B

Explanation

Enuresis. Enuresis is the involuntary discharge of urine after the age at which bladder control should have been established. It is a normal finding for children up to the age of 5 years. Hematuria, Anuria, and Dysuria are abnormal findings related to the urinary system and are not normal findings for a 3-year-old.

Choice A, Hematuria, is incorrect because it is an abnormal finding related to the urinary system.

Choice C, Anuria, is incorrect because it is an abnormal finding related to the urinary system.

Choice D, Dysuria, is incorrect because it is an abnormal finding related to the urinary system.

A. Polydipsia. B. Polyuria. C. Polyphagia. D. Polyhydramnios.

Correct Answer is ["A","B","C"]

Explanation

Polydipsia, Polyuria, and Polyphagia. These are the three P's of hyperglycemia, which are common symptoms of diabetes. Polydipsia refers to excessive thirst, polyuria refers to excessive urination, and polyphagia refers to excessive hunger. These symptoms are caused by high blood glucose levels in the body.

Polyhydramniosrefers to excessive amniotic fluid in the uterus during pregnancy, and it is not a sign or symptom of diabetes.

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The nurse is caring for a client with breast cancer. On evaluation of axillary findings, a potential sign of cancer spread is documented and brought to the physician's attention. Which finding is documented?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is instructing a 3-year-old's mother regarding abnormal findings within the urinary system. Which assessment finding would the nurse document as normal finding for this age group?

Correct Answer is B

Explanation

The nursing instructor is facilitating a discussion with a group of nursing students about common signs and symptoms of diabetes which include the 3 P's. What are the three P's of hyperglycemia? (SATA).

Correct Answer is ["A","B","C"]

Explanation

The nurse is caring for a client with breast cancer. On evaluation of axillary findings, a potential sign of cancer spread is documented and brought to the physician's attention. Which finding is documented?

A client on a prescribed medication for a skin disorder visits the clinic complaining of a skin rash. Which of the following would explain the client's condition?

A client comes to the emergency department complaining of localized pain and swelling of his lower leg. Ecchymotic areas are noted. History reveals that the client got bit in the leg with a baseball bat. Which of the following would the nurse suspect as most likely?

During a sexual history, the client states that she has had multiple sex partners. Which statement by the nurse is most correct?

The nursing instructor is having a group discussion about the functions of the skin prior to reviewing common skin disorders. The instructor is pleased when the students answer (SATA).

A young client has just completed the 6-month series of Gardasil vaccine. Which comment by the client would alert the nurse that further teaching is needed?

The nurse is caring for a group of breast cancer survivors postmastectomy. When developing a list of instructions of points to avoid, which point is highlighted?

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