Which assessment finding in a 36-year-old client is most indicative for further evaluation?
A breast lump that is small, mobile and rubbery in consistency.
A breast nodule that is 1 cm in size, nontender, and fixed.
Bilateral breast nodules that are tender with palpation.
A breast lump that increases in size before the menstrual period.
The Correct Answer is B
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Intermittent claudication is characterized by cramping pain in the legs during physical activity, such as walking, due to insufficient blood flow, typically caused by peripheral arterial disease (PAD). This statement aligns with the symptoms of claudication.
B. Shortness of breath during physical exertion is more indicative of cardiovascular or pulmonary issues, not intermittent claudication.
C. Swelling in the feet from standing for extended periods is more consistent with venous insufficiency rather than intermittent claudication.
D. Pain in the fingers due to cold weather suggests Raynaud’s phenomenon, not intermittent claudication.
Correct Answer is D
Explanation
A. Bilateral peripheral edema can occur after heart catheterization but is not as immediately life-threatening as cardiac tamponade.
B. A heart rate of 59 beats/min may be concerning, but bradycardia alone is not as immediately urgent as signs of cardiac tamponade.
C. A temperature of 96°F is low, but this is more of a concern for hypothermia or post-procedural effects and is not as urgent as muffled heart sounds indicating tamponade.
D. Muffled heart sounds can indicate cardiac tamponade, a medical emergency. Immediate intervention is required to relieve the pressure on the heart, which may involve pericardiocentesis to drain the fluid or blood.
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