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.

Answer and Explanation

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.

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Free Nursing Study Resources

Correct Answer is D

Explanation

A. "They will circulate my blood on a machine during the surgery.": This is correct information regarding the use of a heart-lung machine during CABG.

B. "I will need to take an aspirin every day after the surgery to keep the graft open.": Daily aspirin therapy is standard to prevent graft occlusion, indicating correct understanding.

C. "They will use an artery near my heart to go around the area that is blocked.": This accurately describes using the internal mammary artery for the bypass, showing correct knowledge.

D. "I will have small incisions in my leg where they will remove the vein.": This indicates confusion, as the internal mammary artery, not leg veins, is used in this type of CABG.

A. S1 B. S4 C. S3 D. S2

Correct Answer is B

Explanation

A. S1: S1 is the first heart sound, heard at the beginning of systole, and is not related to diastolic dysfunction.

B. S4: This is the correct answer. An S4 sound is heard late in diastole, often due to increased resistance to filling during diastole, which is typical in diastolic dysfunction.

C. S3: An S3 is a low-pitched sound heard early in diastole, typically associated with systolic dysfunction or heart failure with reduced ejection fraction.

D. S2: S2 is the second heart sound, heard during the end of systole and is not associated with diastolic dysfunction.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When evaluating the effectiveness of preoperative teaching with a client scheduled for coronary artery bypass graft (CABG) surgery using the internal mammary artery, the nurse determines that additional teaching is needed when the client says which of the following?

Correct Answer is D

Explanation

Correct Answer is B

Explanation

A nurse assesses a client after administering the first dose of a nitrate. The client reports a headache. What action would the nurse take?

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