A 36-year-old client who has a diagnosis of fibrocystic breast changes calls the nurse in the clinic reporting symptoms. Which information is likely to change the treatment plan?
The lumps are smaller and less painful after starting oral contraceptives.
Firm and movable lumps are in the upper outer breast quadrants.
An area on the breast is hot, pink, and tender to the touch.
The lumps get more painful before the client’s menstrual period.
The Correct Answer is C
A. The lumps are smaller and less painful after starting oral contraceptives: Improvement of symptoms with oral contraceptives is expected in fibrocystic breast changes. This reflects a positive response to treatment and does not necessitate altering the current plan of care.
B. Firm and movable lumps are in the upper outer breast quadrants: Fibrocystic breast changes commonly present as firm, mobile lumps in the upper outer quadrants of the breasts. This is consistent with the diagnosis and does not require changing the treatment plan.
C. An area on the breast is hot, pink, and tender to the touch: These symptoms suggest acute inflammation or infection, such as mastitis, rather than typical fibrocystic changes. This finding would prompt further evaluation, possible antibiotic therapy, or additional interventions, leading to a change in the treatment plan.
D. The lumps get more painful before the client’s menstrual period: Cyclical breast pain and lump tenderness related to the menstrual cycle is characteristic of fibrocystic changes. This expected pattern does not indicate a need for immediate treatment modification.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. There are crackles audible throughout bilateral lung fields: The presence of crackles in both lungs indicates fluid overload and pulmonary edema, a life-threatening complication of hypertonic saline infusion. Rapid intervention, including slowing or stopping the infusion and notifying the healthcare provider, is necessary to prevent respiratory compromise.
B. The blood pressure increases from 120/80 to 142/94: A moderate rise in blood pressure may indicate increased intravascular volume from the hypertonic saline, but it is not immediately life-threatening. It requires monitoring but is less urgent than pulmonary edema.
C. There is slight sediment and blood in the client’s urine: Minor hematuria or sediment may indicate irritation or a pre-existing condition but does not require immediate action in the context of rapid sodium correction. Monitoring and follow-up are appropriate.
D. The client’s radial pulse is 105 beats/minute: Mild tachycardia can result from hypertonic fluid infusion or mild stress. While it warrants monitoring, it is not as urgent as the development of pulmonary edema, which can rapidly compromise oxygenation and perfusion.
Correct Answer is A
Explanation
A. Esophagogastroduodenoscopy (EGD): EGD allows direct visualization of the esophagus, stomach, and duodenum to identify mucosal inflammation, ulcers, or bleeding. It also enables biopsy collection for H. pylori testing or malignancy screening, providing both diagnostic and therapeutic value.
B. Abdominal arteriogram: An abdominal arteriogram is used primarily to evaluate blood vessels for aneurysms, occlusions, or bleeding sources, not to diagnose gastric disorders. It would not provide useful information regarding mucosal integrity or the presence of ulcers in clients with dyspepsia.
C. Magnetic resonance imaging (MRI): MRI is effective for assessing soft tissue and organ structure but has limited utility in diagnosing gastric mucosal diseases. It cannot provide the direct visualization or biopsy capability needed to confirm conditions like gastritis or peptic ulcer disease.
D. Nuclear medicine scan: A nuclear medicine scan is sometimes used to evaluate gastric emptying or detect gastrointestinal bleeding, but it lacks the precision to identify mucosal lesions or ulcerations. It is therefore not the first-line diagnostic test for clients presenting with frequent gastric pain and dyspepsia.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.