A 36-yr-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.

The lumps get more painful before the clients menstrual period.

Firm and moveable lumps are in the upper outer breast quadrants.

An area on the breast is hot, pink, and tender to the touch.

Answer and Explanation

The Correct Answer is D

A. A reduction in lump size and pain with oral contraceptives is expected and does not indicate a need to change the treatment plan.

B. Increased lump pain before menstruation is typical for fibrocystic changes and not a cause for concern.

C. Firm, movable lumps in the upper outer breast quadrants are characteristic of fibrocystic changes and do not suggest an alternative condition.

D. An area that is hot, pink, and tender indicates inflammation or possible infection (e.g., mastitis or abscess), requiring further evaluation and potentially altering the treatment plan.

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Correct Answer is C

Explanation

A. A urine output lower than fluid intake over 8 hours is important to monitor but does not require immediate intervention compared to neurological deficits.

B. A headache rated 5/10 is a symptom of hypertensive emergency but not as critical as a loss of motor function, which indicates possible stroke.

C. Inability to move the left arm or leg is a neurological deficit suggestive of a stroke, which is a medical emergency requiring immediate reporting and intervention.

D. Tremors when extending the arms may indicate a less acute neurological or metabolic issue and are not as urgent as paralysis.

A. Assess oral temperature. B. Place on cardiac monitor. C. Check a potassium level. D. Assess for pain at contact points.

Correct Answer is B

Explanation

A. Assessing oral temperature is not a priority immediately after an electrical burn, as the focus should be on monitoring for cardiac issues and other life-threatening conditions.

B. Electrical burns can cause cardiac arrhythmias, including dysrhythmias like ventricular fibrillation, which can be life-threatening. The nurse should place the client on a cardiac monitor immediately to detect any abnormal rhythms and respond accordingly.

C. While checking potassium levels is important for assessing potential complications such as kidney damage or arrhythmias, cardiac monitoring should take precedence.

D. Assessing for pain at contact points is important, but it is secondary to ensuring cardiac stability in an electrical burn victim.

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A 36-yr-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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is assessing a client who has been admitted to the intensive care unit (ICU) with hypertensive emergency. Which of the following is most important to report to the healthcare provider?

Correct Answer is C

Explanation

A client with extensive electrical burn injuries is admitted to the emergency department. Which prescribed intervention should the nurse implement first?

Correct Answer is B

Explanation

During the administration of finasteride (Proscar), the nurse must remember which important precaution?

The nurse is teaching a client diagnosed with benign prostatic hyperplasia (BPH). What statement indicates the client needs further information?

The nurse is taking a history of a 68-year-old woman. What assessment findings would indicate a high risk for the development of breast cancer? (Select all that apply.)

A client with genital herpes has painful blisters on her vulva. After teaching the client self-care measures, which statement indicates the need for further education?

A nurse reviews a client's laboratory results. Which findings would alert the nurse to the possibility of atherosclerosis? (Select all that apply.)

A nurse assesses a client with tachycardia. Which clinical manifestation requires immediate intervention by the nurse?

After reviewing the client's chart upon admission to the unit, the nurse consults the healthcare provider about a new order for lovastatin (Mevacor). What triggered the nurse's action?