ANS: B
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A Localized signs of infection include redness, heat, and pain; there can also be edema, which, when associated with infection, is pitting.
B Lymphedema is a localized accumulation of lymph fluid in the interstitial spaces caused by removal of the lymph nodes.
C Localized signs of inflammation include redness, heat, and pain; there can also be edema, which, when associated with inflammation, is pitting.
D The
sign of lymphoma is an enlarged lymph node rather than generalized swelling.
20. A nurse is performing a breast examination of a patient who complains of pain in both breasts that occurs around the time of her menstrual period. The nurse expects which findings during the breast examination?
a. Masses in the breasts that are round, soft, mobile, and well-delineated
b. Masses in the breasts that are round, firm, mobile, and well-delineated
c.
Masses in the breasts that are irregular, hard, and fixed
d. Breast tissue that is red, edematous, tender, and warm to the touch
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Terms in this set (24)
ANS: B
Lymphedema is a localized accumulation of lymph fluid in the interstitial spaces caused by removal of the lymph nodes. Localized signs of infection include redness, heat, and pain; there can also be edema, which, when associated with infection, is pitting. Localized signs of inflammation include redness, heat, and pain; there can also be edema, which, when
associated with inflammation, is pitting. The sign of lymphoma is an enlarged lymph node rather than generalized swelling.
20. A nurse is performing a breast examination of a patient who complains of pain in both breasts that occurs around the time of her menstrual period. The nurse expects which findings during the breast examination?
a.
Masses in the breasts that are round, soft, mobile, and well-delineated
b.
Masses in the breasts that are
round, firm, mobile, and well-delineated
c.
Masses in the breasts that are irregular, hard, and fixed
d.
Breast tissue that is red, edematous, tender, and warm to the touch
"Have there been any changes in the size or shape of your breasts?"
"Do you have any nipple discharge?"
"Do you have any lumps or thickening in either breast?"
"Do you have any pain or tenderness?"
Asking about changes in breast size or shape is important, as this can indicate pregnancy, lactation, or malignancy. Asking about thickening or lumps is pertinent, as these may indicate cysts or tumors. Breast pain can indicate pregnancy, lactation, or malignancy, and it would be relevant to ask about any pain or tenderness. Asking about discharge from the nipples is important, as this can indicate pathology or infection. While a mammogram is important and a client's ability to pay for it is also important, asking about this is not relevant, as it is not related to symptoms.
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