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 B

Explanation

A. Blurred vision is not a typical symptom of left-sided heart failure.

B. Difficulty breathing while performing activities, such as climbing stairs, is a classic symptom of left-sided heart failure due to pulmonary congestion.

C. Increased water intake is not directly indicative of left-sided heart failure.

D. Nocturia can occur in heart failure, but it is less specific than dyspnea on exertion.

A. A breast lump that is small, mobile and rubbery in consistency. B. A breast nodule that is 1 cm in size, nontender, and fixed. C. Bilateral breast nodules that are tender with palpation. D. A breast lump that increases in size before the menstrual period.

Correct Answer is B

Explanation

A. A small, mobile, rubbery lump is often benign, such as a fibroadenoma.

B. A nontender, fixed breast nodule is concerning for malignancy, and further evaluation is necessary, such as imaging or biopsy.

C. Tender, bilateral nodules are commonly seen in benign conditions like fibrocystic breast changes, especially related to the menstrual cycle.

D. A lump that changes in size before menstruation is also typical of benign conditions like fibrocystic changes.

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Test Name	Results	Reference Range
WBC	12, 000	4, 000- 11, 000
Na+	149 mEq/L	135-145 mEq/L
K+	5.0 mEq/L	3.5- 5.0 mEq/L
Cl-	110 mEq/L	96-106 mEq/L
pH	7.34	7.35-7.45
PaCO2	34 mmHg	35- 45 mmHg
PaO2	78 mm Hg	80-100 mmHg
HCO3	21 mEq/L	22- 26 mEq/L

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

A nurse assesses a client in an outpatient clinic. Which statement alerts the nurse to the possibility of left-sided heart failure?

Correct Answer is B

Explanation

Which assessment finding in a 36-year-old client is most indicative for further evaluation?

Correct Answer is B

Explanation

A client with chronic obstructive pulmonary disease (COPD) has poor gas exchange. Which action by the nurse would support the client's ventilation?

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

The nurse is caring for a client after a heart catheterization. What complication must the nurse intervene for immediately?

Which information about continuous bladder irrigation will the nurse teach to a client who is being admitted for a transurethral resection of the prostate (TURP)?

The healthcare provider orders dobutamine at 12 mcg/kg/min. The client weighs 75 kg. The pharmacy provides 250 mL of D5W with 1 g of dobutamine. How many mL/hr should the IV pump be programmed for? (Round to a whole number.)

After the nurse has taught the client with a newly diagnosed sexually transmitted infection about expedited partner therapy, which client statement indicates that teaching has been effective?