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NR 509 FINAL ACTUAL EXAM 70 QUESTION AND CORRECT DEATAILED ANSWERS RATED A GRADE. $18.49   Add to cart

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NR 509 FINAL ACTUAL EXAM 70 QUESTION AND CORRECT DEATAILED ANSWERS RATED A GRADE.

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NR 509 FINAL ACTUAL EXAM 70 QUESTION AND CORRECT DEATAILED ANSWERS RATED A GRADE.NR 509 FINAL ACTUAL EXAM 70 QUESTION AND CORRECT DEATAILED ANSWERS RATED A GRADE.NR 509 FINAL ACTUAL EXAM 70 QUESTION AND CORRECT DEATAILED ANSWERS RATED A GRADE.NR 509 FINAL ACTUAL EXAM 70 QUESTION AND C...

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  • August 29, 2024
  • 12
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NR 509
  • NR 509
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edwardmacharia112
NR 509 FINAL ACTUAL EXAM 70 QUESTION
AND CORRECT DEATAILED ANSWERS RATED A
GRADE.
Risk for Breast cancer - ANSWER---*Age*

-family history of breast/ovarian CA

- inherited genetic mutations,

-personal history of breast cancer

- high levels of endogenous hormones

- breast tissue density

- proliferative lesions with atypia on breast biopsy, - duration of unopposed estrogen exposure related to
early menarche

-age of first full-term pregnancy

- late menopause.

- breastfeeding for less than 1 year,

- postmenopausal obesity

-cigarette smoking, alcohol ingestion,

- physical inactivity, and type of contraception.

Suspicious breast mass - ANSWER--A mobile mass that becomes fixed when the arm relaxes is attached
to the ribs and intercostal muscles; if fixed when the hand is pressed against the hip, it is attached to the
pectoral fascia.

-Hard irregular poorly circumscribed nodules, fixed to the skin or underlying tissues, strongly suggest
cancer




Characteristics of a breast cyst - ANSWER-Soft to firm, round, mobile, often tender.



The best way to examine the lateral portion of the breast - ANSWER--Have pt roll onto the opposite hip

-place her hand on her forehead.

- keep shoulders pressed against the bed

, NR 509 FINAL ACTUAL EXAM 70 QUESTION
AND CORRECT DEATAILED ANSWERS RATED A
GRADE.
-palpate in the axilla, moving in a straight line down to the bra line, then move the fingers medially and
palpate in a vertical strip up the chest to the clavicle. Continue in vertical overlapping strips until you
reach the nipple



Bacterial Vaginosis (BV) - ANSWER--Caused by overgrowth of anaerobic bacteria (often from sex)

- Discharge: Gray or white, thin, homogenous, malodorous, coats the vaginal walls, usually not profuse,
may be minimal

- Fishy/musty genital odor

-Normal vulva and vaginal mucosa

-Scan saline wet mount for clue cells (epithelial cells with stippled borders); sniff for fishy odor after
applying KOH ("whiff test"); test the vaginal secretions for pH > 4.5




Trichomonal Vaginitis - ANSWER--Trichomonas vaginalis, a protozoan; often but not always acquired
sexually

- Discharge:Yellowish green or gray, possibly frothy; often profuse and pooled in the vaginal fornix; may
be malodorous

-Pruritus (though not usually as severe as with Candida

infection); pain on urination (from skin inflammation or possibly urethritis); dyspareunia

-Vestibule and labia minora may be erythematous; the vaginal mucosa may be diffusely reddened, with
small red granular spots or petechiae in the posterior fornix; in mild cases, the mucosa looks normal

- Scan saline wet mount for trichomonads

Candidal Vaginitis - ANSWER--Cause: Candida albicans, a yeast (normal overgrowth of vaginal flora);
many factors predispose, including antibiotic therapy

-Discharge: white and curdy, may be thin but usually thick, not as profuse as trichomonal infection, not
malodorous

- vaginal soreness, pruritus, pain on urination, dyspareunia (painful intercourse)

-The vulva and surrounding skin are inflamed and sometimes swollen to a variable extent; the vaginal
mucosa is reddened, with white tenacious patches of discharge; the mucosa may bleed when these
patches are scraped off; in mild cases, the mucosa looks normal

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