Which assessment finding in a 36-yr-old patient is most indicative of a need for further evaluation?

A breast lump that increases in size before the menstrual period.

Bilateral breast nodules that are tender with palpation.

A breast lump that is small and mobile, with a rubbery consistency.

A breast nodule that is 1 cm in size, nontender, and fixed.

Answer and Explanation

The Correct Answer is D

Choice A rationale: A breast lump that increases in size before the menstrual period might be related to hormonal changes and is not necessarily indicative of a concerning issue.

Choice B rationale: Bilateral breast nodules that are tender with palpation might be related to benign conditions or hormonal changes.

Choice C rationale: A small, mobile, rubbery breast lump could suggest a benign condition like a fibroadenoma, which might not be as concerning.

Choice D rationale: A breast nodule that is 1 cm in size, nontender, and fixed could potentially raise concerns about malignancy and requires further evaluation.

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Correct Answer is B

Explanation

Choice A rationale: this corresponds with 25 mg which is lower than the prescribed amount.

Choice B rationale: To answer this question, we need to use the formula: volume (mL) = dose (mg) / concentration (mg/mL). We plug in the given values: volume (mL) = 35 mg / 25 mg/mL. We simplify the fraction: volume (mL) = 7/5. We convert the fraction to a

decimal: volume (mL) = 1.4. Therefore, the nurse should administer 1.4 mL of promethazine.

Choice C rationale: this corresponds with 37.5 mg which is too high.

Choice D rationale: this corresponds with 17.5 mg which is too low.

A. Provide thickened fluids with a straw. B. Listen to bilateral lung and bowel sounds. C. Check the client's Hypoglossal nerve and Vestibulocochlear cranial nerve function. D. Check the client's Glossopharyngeal nerve and Vagus cranial nerve function.

Correct Answer is D

Explanation

Choice A rationale: Providing thickened fluids with a straw is more related to swallowing difficulties and is not the priority in this context.

Choice B rationale: While assessing lung and bowel sounds is important, it's not directly related to offering oral intake after a gastroscopy.

Choice C rationale: Assessing the Hypoglossal nerve and Vestibulocochlear cranial nerve function isn't directly related to offering oral intake post-gastroscopy.

Choice D rationale: Checking the client's Glossopharyngeal nerve and Vagus cranial nerve function is crucial as these nerves play roles in swallowing, taste, and the gag reflex, which are important before allowing oral intake post-gastroscopy.

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Which assessment finding in a 36-yr-old patient is most indicative of a need for further evaluation?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

A client who is fully awake after a gastroscopy asks the nurse for something to drink. After confirming that liquids are allowed, which assessment action should the nurse consider a priority before offering oral intake?

Correct Answer is D

Explanation

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