Author Question: At a point during the admission process of a young female patient, the nurse asks the patient about ... (Read 61 times)

Frost2351 · **on:** Jul 22, 2018

At a point during the admission process of a young female patient, the nurse asks the patient about whether or not she performs self-breast examinations. The patient asks about the best time of the month to perform this examination.

What is the best response? a. Usually the first day of your menstrual period is best.
b. At the same time every month.
c. If you're pregnant there is no need to do it.
d. A few days after your menstrual period ends.

Question 2

A nurse notes a typical cardiovascular change in an immobilized postoperative patient. Which of the following did the nurse find upon assessment?

a. Atelectasis
b. Negative nitrogen balance
c. Orthostatic hypotension
d. Bleeding

yasmina · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

D
The best time for BSE is when the breasts are not tender or swollen, usually a few days after a menstrual period ends. If the woman is postmenopausal, advise her to check her breasts on the same day each month. A pregnant woman should also check her breasts on a monthly basis.

Answer to Question 2

C
Orthostatic hypotension, a common cardiovascular response, occurs in patients on bed rest and after prolonged sitting. Orthostatic hypotension is an increase in heart rate of more than 15 and a drop of 15 mm Hg or more in systolic blood pressure or a decrease of 10 mm Hg in diastolic blood pressure when the patient rises from a lying or sitting position to a standing position. Respiratory changes, not cardiovascular, include decreased lung expansion, generalized muscle weakness, and stasis of secretions. These conditions are consistent with the development of atelectasis. Three factors contribute to thrombus formation (not bleeding), which include loss of integrity of vessel wall, abnormalities of blood flow, and changes in clotting factors/increased platelet activity.