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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Not crossing legs is an important self-management strategy for PAD. It helps improve circulation and prevent further vascular damage. This statement is correct.
B. Warm, heavy socks can be harmful for PAD clients because they may reduce circulation. Clients should avoid excessive warmth and use loose-fitting socks instead. This statement indicates misunderstanding.
C. Smoking cessation is crucial for PAD management, as smoking worsens circulation. This statement is correct.
D. Heating pads can be dangerous for clients with PAD due to the risk of burns from impaired circulation. Low settings may still be too high, so this statement requires further education.
Correct Answer is C
Explanation
A. This is an underestimation due to a miscalculation of the dose rate.
B. This is an overestimation due to a miscalculation of the dose rate.
C. 1. Calculate the desired dose of dobutamine:
Desired dose (mcg/min) = Dose per kg (mcg/kg/min) x Weight (kg)
Desired dose (mcg/min) = 12 mcg/kg/min x 75 kg = 900 mcg/min
2. Convert mcg/min to mg/hr:
900 mcg/min x 60 min/hr = 54,000 mcg/hr
54,000 mcg/hr ÷ 1000 mcg/mg = 54 mg/hr
3. Calculate the concentration of dobutamine in the solution:
Concentration (mg/mL) = Total amount of dobutamine (mg) / Total volume (mL)
Concentration (mg/mL) = 1000 mg (1 g) / 250 mL = 4 mg/mL
4. Calculate the infusion rate (mL/hr):
Infusion rate (mL/hr) = Desired dose (mg/hr) / Concentration (mg/mL)
Infusion rate (mL/hr) = 54 mg/hr / 4 mg/mL = 13.5 mL/hr
5. Round to the nearest whole number:
Infusion rate (mL/hr) = 14 mL/hr
Therefore, the IV pump should be programmed for 14 mL/hr.
D. This is an overestimation due to a miscalculation of the dose rate.
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