Nokea
The client frequently finds lumps in her breasts, especially around her menstrual period. Which information should the nurse teach the client regarding breast self-care?
- A. This is a benign process, which does not require follow-up.
- B. The client should eliminate chocolate and caffeine from the diet.
- C. The client should practice breast self-examination monthly.
- D. This is the way breast cancer begins and the client needs surgery.
Correct Answer: C
Rationale: Lumps around the menstrual period are often fibrocystic changes, a benign condition. Teaching monthly breast self-examination empowers monitoring for changes. Assuming benignity without follow-up is unsafe, dietary changes are secondary, and suggesting surgery is premature.
You may also like to solve these questions
What special instruction concerning the technique for taking vital signs is most important when assigning this task to a nursing assistant?
- A. Count the client's respirations while he is resting.
- B. Assess the client's pulse at the radial site.
- C. Take the client's blood pressure with an electronic machine.
- D. Avoid taking a rectal temperature.
Correct Answer: D
Rationale: Avoiding rectal temperature measurement prevents trauma or infection in a client with a suprapubic prostatectomy and catheters.
The client diagnosed with ovarian cancer has had eight (8) courses of chemotherapy. Which laboratory data warrant immediate intervention by the nurse?
- A. Absolute neutrophil count of 3,500.
- B. Platelet count of 150 · 103.
- C. Red blood cell count of 5 · 106.
- D. Urinalysis report of 100 WBCs.
Correct Answer: D
Rationale: Urinalysis with 100 WBCs indicates a urinary tract infection, requiring immediate intervention in a chemotherapy patient at risk for sepsis. Other values are within normal ranges.
The nurse is caring for a client diagnosed with uterine cancer who has received afterload intracavitary radiation. Which precaution should the nurse implement?
- A. Wear rubber gloves to protect the nurse from all exposure.
- B. Allow any visitor the client wishes to see.
- C. Minimize the amount of time spent with the client.
- D. Encourage the client to ambulate in the hallway.
Correct Answer: C
Rationale: Minimizing time with the client reduces radiation exposure during intracavitary brachytherapy. Gloves are insufficient, visitors are limited, and ambulation increases exposure risk.
After C. albicans is identified as the causative organism, the nurse would expect the physician to prescribe which treatment?
- A. A nonprescription antifungal medication
- B. A prescription oral penicillin
- C. A prescription broad-spectrum antibiotic
- D. A vaginal douche with a vinegar solution
Correct Answer: A
Rationale: Candida albicans causes yeast infections, which are typically treated with nonprescription antifungal medications like miconazole or clotrimazole.
When the client asks where the laparoscope will be inserted, the nurse correctly identifies which structure?
- A. Abdomen
- B. Vagina
- C. Uterine cervix
- D. Uterine fundus
Correct Answer: A
Rationale: For endometriosis, a laparoscope is inserted through a small abdominal incision to visualize and remove ectopic tissue.