NSG 6020 Final Exam / NSG 6020 Final Exam Study Guide (Latest 2021) SOUTH UNIVERSITY.A 65-year-old patient remarks that she just can’t believe that her ... [Show More] breasts sag
so much. She states it must be from lack of exercise. What explanation should
the nurse offer her?
After menopause, the glandular and fat tissue atrophies, causing breast size and
elasticity to diminish, resulting in breasts that sag.
The mother of a 10-year-old boy asks the nurse to discuss the recognition of
puberty. The nurse should reply by saying:
“Puberty usually begins about age fifteen.”
“The first sign of puberty is enlargement of the testes.”
“Penis size does not increase until about the age of sixteen.”
"The development of pubic hair precedes testicular or penis enlargement.”
A patient has bilateral pitting edema of the feet. While assessing the
peripheral vascular system, the nurse's primary focus should be:
The correct answer is: Venous function of the lower extremities
During an examination, the nurse notes severe nystagmus in both eyes of a
patient. Which of the following conclusions is correct?
1.This is a normal occurrence.
2.This may indicate disease of the cerebellum or brainstem.
3.This is a sign that the patient is nervous about the examination.
4.This indicates a visual problem and a referral to an ophthalmologist is indicated.
End-point nystagmus at an extreme lateral gaze occurs normally. Assess any
other nystagmus carefully. Severe nystagmus occurs with disease of the vestibular
system, cerebellum, or brainstem.
When performing a musculoskeletal assessment, the nurse knows the correct
approach for the examination should be:
proximal to distalA 43-year-old woman is at the clinic for a routine examination. She reports
that she has had a breast lump in her right breast for years. Recently, it has
begun to change in consistency and is becoming harder. She reports that 5
years ago her physician evaluated the lump and determined that it “was
nothing to worry about.” The examination validates the presence of a mass in
the right upper outer quadrant at 1 o’clock, approximately 5 cm from the
nipple. It is firm, mobile, nontender, with borders that are not well defined.
The nurse’s recommendation to her is:
“Because of the change in consistency of the lump, it should be further evaluated
by a physician. [Show Less]