A patient comes to the clinic because she found a mass in her left breast that is present during and after her menstrual periods
On palpation the nurse finds a mass in the left breast that is round, rubbery, mobile, and nontender. This finding is consistent with which breast disorder?
a. Fibrocystic breast disease
b. Invasive breast cancer
c. Mastitis
d. Fibroadenoma
ANS: D
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A mother calls the pediatric clinic and tells the nurse the family is planning a cross-country trip to visit some attractions the children will enjoy
Her 2-year-old child gets motion sickness soon after starting the car and she would like some scopolamine patches to use. What is the nurse's best response? A) "One patch lasts for 3 days. How long will you be driving?" B) "Children cannot receive scopolamine orally or by patch." C) "It might be better to use the oral form of the drug only on days it is needed." D) "Scopolamine loses effectiveness if it is used for several days."
A client is complaining of severe pain in the left great toe. What lab studies that the nurse reviews indicate that the client may have gout?
A) Elevated white blood count B) Elevated uric acid levels C) Decreased hemoglobin and hematocrit D) Increased AST and ALT
A bedridden patient in hospice care is suffering from nausea, vomiting, confusion, constipation, lethargy, decreased deep tendon reflexes, polyuria, and extreme thirst. A nurse identifies these symptoms as
1. Dyspnea. 2. Hypercalcemia. 3. Cyanosis. 4. Cheyne-Stokes respirations.
C.P. tells you he doesn't want to live like this and that he would like to stop chemotherapy,
but his physician wants him to continue with aggressive therapy. Discuss what role you can play in helping him. What will be an ideal response?