The nurse is examining a client with a history of benign breast disease (sometimes referred to as fibrocystic breast disease). The nurse would expect which of the following findings during this assessment? Standard Text: Select all that apply
1. Straw-colored discharge from the nipples
2. Freely movable masses
3. Hard, fixed nodules
4. Thickened breast tissue
5. Masses with well defined boundaries
1,2,4,5
Rationale 1: Straw-colored discharge from the nipples. Straw-colored discharge from the nipples is common with benign breast disease. Discharge from the nipples may be clear, straw-colored, milky, or green.
Rationale 2: Freely movable masses. Masses with benign breast disease are generally freely movable.
Rationale 3: Hard, fixed nodules. Hard, fixed nodules are more commonly associated with cancer of the breast.
Rationale 4: Thickened breast tissue. The symptoms of benign breast disease are a result of fibrosis, which is a thickening of the normal breast tissue and may be accompanied by cyst formation.
Rationale 5: Masses with well defined boundaries. The masses of benign breast disease are typically well demarcated (having defined boundaries).
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A client's intravenous heparin drip rate will be increased at 1400. The nurse plans to draw an activated partial thromboplastin time (aPTT) at which time?
1. Immediately after increasing the rate 2. At 2000 3. At 1530 4. At 0800 the next morning