Posted: August 24th, 2022

A 65-year-old patient remarks that she just can’t believe that her breasts sag so much. 

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 distal

A 43-year-old woman is at the clinic for a routine examination. She report

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