Health Assessment for Nursing Practice PDF

Preview

Summary

Health Assessment for Nursing Practice...

Description

Health Assessment for Nursing Practice 3. While giving a presentation about breast health, a nurse informs patients about which recommendation? a. Women in their 30s should have annual clinical breast examinations. b. Women at high risk of breast cancer should have semiannual mammograms. c. Women who are postmenopausal require clinical breast examination every 5 years. d. A screening mammogram is recommended for all women beginning at age 50years. ANS: D Option D is the recommendation of the U.S. Preventive Services Task Force. Clinical breast examinations are recommended as part of a periodic health examination at least every 3 years for average-risk, asymptomatic women in their 20s and 30s, and annually for asymptomatic women age 40 and older. Having semiannual mammograms is more often than necessary. Clinical breast examinations are recommended as part of a periodic health examination at least every 3 years for average-risk, asymptomatic women in their 20s and 30s, and annually for asymptomatic women age 40 and older. DIF: Cognitive Level: Remember REF: p. 338 TOP: Nursing Process: Intervention MSC: NCLEX Patient Need Category: Health Promotion and Maintenance: Health Promotion Programs 4. Based on the history, a nurse determines that the patient with which finding requires further assessment? a. Occasional discharge from nipples b. Supernumerary nipples along the milk line c. Rash in the axillae associated with change in deodorant d. Mild breast swelling that fluctuates with the menstrual cycle ANS: A Nipple discharge is usually an abnormal finding. A specimen of the discharge should be collected. Supernumerary nipples along the milk line are a normal finding in some women. A rash in the axillae associated with change in deodorant can be solved by changing deodorant and treating the rash. Mild brNeastRswIellinGg thBa.t fCluctMuates with the menstrual cycle is consistent with fibrocystic breast disease. DIF: Cognitive Level: Analyze REF: p. 337 | p. 338 | p. 347 TOP: Nursing Process: Assessment MSC: NCLEX Patient Need Category: Physiologic Integrity: Physiologic Adaptation: Alteration in Body Systems 5. During a breast examination of a healthy female, the nurse recognizes which finding as normal? a. Asymmetrical venous pattern b. Unequal nipple size c. Supernumerary nipples along the milk line d. Pink discharge from one nipple when manipulated ANS: C Supernumerary nipples are considered a normal variation, although they are uncommon. The venous patterns should be bilaterally similar. Nipple size should be symmetric. Nipple discharge is usually considered an abnormal finding. DIF: Cognitive Level: Remember REF: p. 342 TOP: Nursing Process: Assessment MSC: NCLEX Patient Need Category: Physiologic Integrity: Reduction of Risk Potential: System Specific Assessments...