A 36-year-old who has a diagnosis of fibrocystic breast changes calls the nurse in the clinic with symptoms. Which is most important to report to the health care provider?
a. There is yellow-green discharge from the patient's right nipple.
b. There is an area on the breast that is hot, pink, and tender to touch.
c. The lumps are firm and most are in the upper outer breast quadrants.
d. The lumps are larger and painful before the patient's menstrual period.
ANS: B
An area that is hot or pink suggests an infectious process such as mastitis, which would require further assessment and treatment. The other information also will be reported, but these findings are typical in fibrocystic breasts.
You might also like to view...
As the ICU nurse caring for a patient with multiple traumas from an ATV accident, you draw arterial blood gasses (ABGs) every 4 hours. What are you assessing in this patient with the ABGs?
A) The bicarbonate-carbonic acid buffer system B) The patient's oxygen status C) The patient's intracellular buffer systems D) Metabolic acidosis status
You have been consistently caring for a patient who is suicidal, but who now tells you, "Nurse, I finally have it all figured out. It's going to be just fine." Your best response to this patient is:
A) "I'm so glad to hear that!" B) "What a relief for you!" C) "I'm not sure I understand what you mean. Tell me more." D) "You have an excellent doctor. I knew things would work out in the end!"
The LPN/LVN notices that another nurse has made errors in practice and judgment over the past few weeks. In addition, the nurse's personality has undergone changes, such as irritability and unpredictability when responding to others
A patient mentioned to the LPN/LVN that when the nurse administered medication for pain relief, it didn't work as well as it had earlier in the day. Based on this information the LPN/LVN should a. notify the state board of nursing. b. confront the nurse with the observations. c. call Employee Health and discuss the matter. d. report these findings to the nurse in charge.
Drug addiction is a chronic, relapsing brain disease in which the person has an overwhelming de-sire to take a drug
Indicate whether the statement is true or false.