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A nurse is working with a woman who has been diagnosed with severe fibrocystic breast disease. After describing the medications that can be used as treatment, the nurse determines that additional teaching is needed when the client identifies which drug is being used.
- A. Danazol
- B. Penicillin
- C. Bromocriptine
- D. Tamoxifen
- G. B
Correct Answer: Penicillin, an antibiotic, has no role in treating fibrocystic breast disease, which involves hormonal changes. Danazol, bromocriptine, and tamoxifen are used to manage symptoms by altering hormone levels.
Rationale:
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A nurse is working with a woman who has been diagnosed with severe fibrocystic breast disease. After describing the medications that can be used as treatment, the nurse determines that additional teaching is needed when the client identifies which drug as being used?
- A. Danazol
- B. Penicillin
- C. Bromocriptine
- D. Tamoxifen
- G. B
Correct Answer: Penicillin, an antibiotic, has no role in treating fibrocystic breast disease, which involves hormonal changes. Danazol, bromocriptine, and tamoxifen are used to manage symptoms by altering hormone levels.
Rationale:
A nurse is reading a journal article about the care of a woman with pelvic organ prolapse. The nurse would expect to find information related to which disorder? Select all that apply.
- A. Fecal incontinence
- B. Rectocele
- C. Urinary incontinence
- D. Cystocele
- E. Enterocele
- G. B,C,D,E
Correct Answer: Pelvic organ prolapse includes rectocele, urinary incontinence, cystocele, and enterocele due to weakened pelvic support. Fecal incontinence is unrelated to organ displacement.
Rationale:
A nurse is reinforcing teaching about self-care with a client who has pelvic inflammatory disease. The client does not speak English. Which of the following actions by the nurse is appropriate?
- A. Ask the client's English-speaking family member to translate.
- B. Use a translation dictionary to reinforce the teaching.
- C. Seek assistance from a facility-approved interpreter.
- D. Ask an assistive personnel (AP) who speaks the client's language to serve as an interpreter.
- G. C
Correct Answer: A facility-approved interpreter ensures accurate and confidential communication. Family members may lack medical knowledge, dictionaries are inefficient, and APs may not be qualified or authorized to interpret.
Rationale:
A woman who has undergone a right-sided modified-radical mastectomy returns from surgery. Which nursing intervention would be most appropriate for the nurse to include in the client's plan of care at this time?
- A. Encourage her to turn, cough, and deep breathe at frequent intervals.
- B. Ask the client how she feels about having her breast removed.
- C. Attach a sign above her bed to have BP, IV lines, and lab work on her right arm.
- D. Position her right arm below heart level.
- G. A
Correct Answer: Turning, coughing, and deep breathing prevent respiratory complications post-surgery. Asking about feelings is premature, using the right arm risks lymphedema, and elevating the arm aids drainage.
Rationale:
A nurse is reading a journal article about the care of a woman with pelvic organ prolapse. Would expect to find information on which disorder. Select all that apply.
- A. Rectal incontinence
- B. Rectocele
- C. Urinary incontinence
- D. Cystocele
- E. Enterocele
- G. B,C,D,E
Correct Answer: Pelvic organ prolapse involves disorders like rectocele (rectum bulging into vagina), urinary incontinence (bladder control loss), cystocele (bladder bulging into vagina), and enterocele (small intestine bulging into vagina). Rectal incontinence is not directly related.
Rationale: