When assessing the breast, the nurse would teach the patient to palpate which of the following areas?

Upper outer quadrant

Lower inner quadrant

Upper inner quadrant

Tail of spence

Answer and Explanation

Correct Answer : A,B,C

The nurses would teach the patient to palpate all four quadrants of the breast, including the upper outer quadrant, lower inner quadrant, and upper inner quadrant, as well as the tail of Spence, which is the extension of breast tissue into the axilla (armpit). It's important for the patient to be familiar with their own breast tissue and report any changes or abnormalities to their healthcare provider.

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Correct Answer is B

Explanation

Hypoxia is a medical condition characterized by a lack of oxygen in the body's tissues, which can occur due to a variety of reasons, such as respiratory failure, cardiac arrest, or other serious medical conditions. Cyanosis occurs when the oxygen saturation level in the blood falls below 85%, which causes a bluish color to appear on the skin, especially on the lips and fingertips. Therefore, if a nurse observes cyanosis in a patient's lips, it is a significant sign of hypoxia, and the patient requires immediate medical attention.

A. Report of scalp itching each evening B. Loss of hair on bilateral legs C. Patient description of pain in an extremity D. Complaint of numbness on the right hand,

Correct Answer is B

Explanation

Objective data refers to measurable and observable information gathered during a patient assessment, such as physical signs, laboratory values, and other measurable data. In this case, the loss of hair on bilateral legs can be observed and measured, making it an objective finding. Options a, c, and d are all subjective data as they rely on the patient's report or description of their symptoms, which cannot be directly observed or measured.

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When assessing the breast, the nurse would teach the patient to palpate which of the following areas?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is assessing the patient's lips and notes a bluish tinge. This finding would indicate that the patient may be experiencing which problem?

Correct Answer is B

Explanation

The nurse would document which of the following as objective data obtained during a patient assessment?

Correct Answer is B

Explanation

The nurse auscultates the client’s abdomen for 1 minute and does not hear any bowel sounds. What should the nurse do next?

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