You are conducting a clinical breast examination for your 30-year-old patient. Her breasts are symmetric, with bilateral, multiple tender masses that are freely moveable and with well-defined borders
You recognize that these symptoms and assessment findings are consistent with: a. Fibroadenoma
b. Paget disease
c. Cancer
d. Fibrocystic changes
D
Fibrocystic changes are tender masses, usually bilateral, with multiple round, mobile, well-delineated borders. A fibroadenoma is usually nontender. Paget disease is an eczema-like condition of the nipple that signals an underlying cancer. Cancer is usually nontender.
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A couple wants to start a family and they are concerned that their child will be at risk for cystic fibrosis because they each have a cousin with cystic fibrosis. What should the nurse practitioner tell them about cystic fibrosis?
A) It is an autosomal dominant disorder. B) It is passed by mitochondrial inheritance. C) It is an X-linked inherited disorder. D) It is an autosomal recessive disorder.
Which herbs, although considered generally safe and effective (in recommended dosages) by non-U.S. regulatory authorities, should be avoided in patients also taking aspirin, ibuprofen, or warfarin? (Select all that apply.)
a. Garlic b. Ginkgo c. Goldenseal d. Feverfew e. Flaxseed
A community health nurse is conducting a seminar on vision self-care. What might be one topic included in the education plan?
A) Wear sunglasses when working outside. B) Close the eyes when working with chemicals. C) Use over-the-counter eye drops when necessary. D) When using aerosol sprays, spray toward self.
A 2000 ml blood loss will produce which assessment finding?
a. Air hunger b. Normal blood pressure in the supine position c. Rapid thready pulse d. Cold clammy skin e. lactic acidosis