What is an appropriate response to a client asking if fibrocystic breast disease means she has breast cancer?
- A. I am so sorry. I am sure that the doctor will do everything possible to cure you of the cancer.
- B. I am not the best person to ask about your diagnosis. I suggest that you ask the doctor.
- C. If your lumps are round and mobile they are not cancerous, but if they are hard to the touch you probably do have cancer.
- D. You do not have cancer, but it is especially important for you to have regular mammograms to monitor for any changes.
Correct Answer: D
Rationale: Fibrocystic changes are benign but warrant monitoring.
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A nurse is preparing a breast cancer presentation for a health forum. Which fact would the nurse expect to address in this presentation?
- A. Breast cancer is more advanced in Black women when found.
- B. Black women have the BRCA1 and BRCA2 gene.
- C. More Hispanic women smoke, which increases their risk.
- D. White women respond better to breast cancer treatment.
Correct Answer: A
Rationale: White women get breast cancer at a higher rate than Black women; however, Black women are more likely to die because they get breast cancer before 40 years of age, cancer is more advanced when found, and survival at every cancer stage is worse among Black women.
The nurse is aware that a pre-term neonate may have a potential nutritional problem because of:
- A. Poor sucking reflex
- B. A decreased metabolic rate
- C. Decreased caloric requirement
- D. Increased absorption of nutrients
Correct Answer: A
Rationale: Pre-term infants often have an immature sucking reflex.
The nurse is answering the phone in the OB-GYN clinic. The person asks, 'I am a lesbian. Can an OB-GYN provider care for me?' What is the nurse's best response?
- A. All LGBTQIA+ persons are welcome and can be treated by an OB-GYN provider.'
- B. We can see you if you will be the person in the relationship that will get pregnant.'
- C. We suggest you see a provider that specializes in LGBTQIA+ persons.'
- D. Our OB-GYN provider can give you gynecologic care but not pregnancy care.'
Correct Answer: A
Rationale: The correct answer is A because it demonstrates inclusivity and respect for the individual's identity. The response affirms that all LGBTQIA+ persons are welcome and can receive care from an OB-GYN provider, promoting a safe and supportive environment. This answer prioritizes patient-centered care and emphasizes the provider's commitment to serving diverse populations.
Choice B is incorrect as it assumes the individual's role in a relationship determines their eligibility for care, which is discriminatory. Choice C is also incorrect as it suggests the individual needs a specialized provider solely based on their sexual orientation, which is not necessary for routine gynecologic care. Choice D is incorrect as it limits the scope of care based on the individual's sexual orientation, which goes against ethical principles of providing comprehensive healthcare to all individuals.
For which health history should the nurse counsel a woman that the diaphragm may lead to a recurrence of her problem?
- A. Urinary tract infections.
- B. Herpes simplex infections.
- C. Deep vein thromboses.
- D. Human papilloma warts.
Correct Answer: A
Rationale: Diaphragm use can increase the risk of UTIs.
How many mL of penicillin G benzathine should the nurse administer to treat syphilis if the dose is 2.4 million units and the concentration is 1,200,000 units/mL?
- A. 1 mL
- B. 2 mL
- C. 3 mL
- D. 4 mL
Correct Answer: B
Rationale: Calculation: 2.4 million units ÷ 1,200,000 units/mL = 2 mL.