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 D

Explanation

Choice A rationale: Symptoms and findings described align more with an acute, severe condition rather than a chronic one.

Choice B rationale: While cholecystitis can present with similar symptoms, the radiation of pain to the back is more indicative of a different condition.

Choice C rationale: Cholelithiasis (gallstones) might cause abdominal pain but typically doesn’t lead to fever and hypotension.

Choice D rationale: Symptoms including severe abdominal pain, radiation to the back, fever, and hypotension suggest acute pancreatitis, a potentially serious condition requiring urgent medical attention.

A. genetic cancerous mutations. B. hyperinsulinemia C. cortisol excess. D. estrogen deficit.

Correct Answer is B

Explanation

Choice A rationale: PCOS is not typically associated with genetic cancerous mutations.

Choice B rationale: Insulin resistance and hyperinsulinemia are commonly associated with PCOS, contributing to its pathophysiology.

Choice C rationale: While cortisol abnormalities can cause similar symptoms, it's not a primary finding in PCOS.

Choice D rationale: PCOS often involves hormonal imbalances, but it's not characterized by an estrogen deficit.

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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 D

Explanation

A 25-year-old female presents with amenorrhea and hirsutism and is diagnosed with polycystic ovary syndrome (PCOS). Lab testing will most likely reveal:

Correct Answer is B

Explanation

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