A client reports dimpling of the breast tissue which of the following actions should the nurse take

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Chpt 42

Terms in this set (45)

The nurse is providing teaching to a client with a removable pessary. Which of the following statements made by the client indicates the need for further teaching?

"If I have bloody discharge, I should call the health-care provider (HCP)."
"I need to come back in a few weeks for a checkup."
"I should remove the pessary once per week to clean it."
"I may have an increase in vaginal discharge."

"I should remove the pessary once per week to clean it."

The nurse is caring for a group of clients. Which client is at highest risk for developing mastitis?

A client who takes hormones for menopause
A client who is breastfeeding
A client who has a history of breast cancer
A client who had a breast biopsy 2 months ago

A client who is breastfeeding

The nurse is caring for a client receiving miconazole (Monistat) for a yeast infection. Which statement made by the client requires correction by the nurse?

"I need to wash the single-use applicator with soap and hot water after use."
"When I am no longer itching, I can quit doing the treatment."
"I will fill the applicator and insert it into my vagina."
"If I have a change in symptoms, I should tell the health-care provider (HCP)."

"When I am no longer itching, I can quit doing the treatment."

The nurse is caring for a client with mastitis. Which intervention should the nurse plan to implement?

Encourage the client to apply ice to the area.
Instruct the client to avoid a bra.
Administer clindamycin (Cleocin) as ordered.
Instruct the client to avoid nonsteroidal anti-inflammatory drugs (NSAIDs).

Administer clindamycin (Cleocin) as ordered

The nurse is teaching a client about a lumpectomy. Which statement made by the client indicates an understanding of the teaching?

"I will have to have my whole breast taken off."
"I will have all the muscle and lymph nodes removed."
"The doctor is just going to remove the tumor."
"The surgeon is removing part of the breast."

"The doctor is just going to remove the tumor."

The nurse is assessing urine output from an indwelling urinary catheter for a client who underwent a hysterectomy. What is the minimum amount of urine the nurse should expect after an 8-hour period? Enter the numeral only.

240

The nurse is taking a medication history on a client taking norethindrone acetate and ethinyl estradiol (Loestrin). For which medication taken by the client should the nurse provide education about a back-up method of birth control?

Metformin (Glucophage)
Furosemide (Lasix)
Clindamycin (Cleocin)
Atenolol (Tenormin)

Clindamycin (Cleocin)

The nurse is caring for a client who has been in menopause for 6 years. The client reports vaginal bleeding. Which response by the nurse is most appropriate?

"You need to contact your health-care provider (HCP) to look into this further."
"Bleeding may occur off and on throughout menopause."
"If you take oral contraceptives, you won't bleed anymore."
"There is no reason to be concerned; sometimes bleeding occurs."

"You need to contact your health-care provider (HCP) to look into this further."

The nurse is preparing a presentation to educate the community about mammograms. Which of the following should the nurse include in the teaching?

Women age 45 to 54 should receive a mammogram every year.
Women ages 40 to 44 should not begin early mammograms.
Mammograms are no longer recommended.
Women ages 55 and older can stop receiving mammograms.

Women age 45 to 54 should receive a mammogram every year.

The nurse is caring for a client with mastitis. Which clinical manifestations can the nurse expect to find? Select all that apply.

Swelling
Cool skin
Redness
Pain
Lumps

Swelling
Redness
Pain

Which of the following is shown?
(line pointing in the middle between anus and urethral opening

vagina

The nurse is caring for a client with candida albicans. Which of the following describes the discharge the nurse can expect to find?

Gray, foul-smelling
White, cottage cheese-like
Frothy and foul-smelling
Watery yellow

White, cottage cheese-like

The nurse is caring for a client receiving hormone replacement therapy (HRT). This treatment places the client at risk for which of the following conditions?

Liver failure
Kidney disease
Lung cancer
Stroke

Stroke

A client asks the nurse what causes menstrual abnormalities. Which of the following should the nurse include in her explanation? Select all that apply.

Tumors
Stress
Pregnancy
Obesity
Age

Tumors
Stress
Pregnancy
Obesity

The nurse is caring for a client about to undergo an endoscopic examination. Which of the following interventions should the nurse implement before the procedure? Select all that apply.

Ask the client when she last ate.
Assess vital signs.
Ask the client when the last void was.
Obtain consent for the procedure.
Assist the client into a gown.

Ask the client when she last ate.
Assess vital signs.
Ask the client when the last void was.
Assist the client into a gown.

The nurse is caring for a client with premenstrual dysphoric disorder (PMDD). Which statement made by the client should concern the nurse?

"I started walking 20 minutes every day."
"I have been eating more vegetables and fruits lately."
"I take double the amount of vitamins I used to."
"I took a Tylenol so my cramps feel a little better."

"I take double the amount of vitamins I used to."

The nurse is caring for a client with mastitis. Which intervention should the nurse plan to implement?

Encourage the client to apply ice to the area.
Instruct the client to avoid a bra.
Administer clindamycin (Cleocin) as ordered.
Instruct the client to avoid nonsteroidal anti-inflammatory drugs (NSAIDs)

Administer clindamycin (Cleocin) as ordered.

A client informs the nurse they have been diagnosed with a decrease in estrogen production and asks about the typical symptoms. Which of the following symptoms should the nurse discuss? Select all that apply.

Decreased cholesterol
Bone loss
Muscle cramps
Urinary incontinence
Breast swelling

Bone loss
Urinary incontinence

The nurse is caring for a client who underwent an abortion. Which of the following warrants notification of the health-care provider (HCP)?

Blood pressure 120/76
Temperature 98.7
Clots larger than a quarter
Odorless discharge

Clots larger than a quarter

The nurse is caring for a client who reports their mother, aunt, and sister have all had breast cancer. The nurse should educate the client about which test?

PSA
FSH
BRCA1
LH

BRCA1

The nurse is caring for a female client who has been experiencing difficulty conceiving due to a past sexually transmitted infection. The client is upset, crying, and states, "It is all my fault we can't get pregnant." Which response by the nurse is best?

"It will be okay. You can always adopt a child."
"Don't be upset. You can't change the past."
"You seem upset. Tell me more about how you are feeling."
"It's not your fault. Maybe your husband can't get you pregnant either."

"You seem upset. Tell me more about how you are feeling."

A client is undergoing a Papanicolaou (Pap) smear. Which of the following instructions should the nurse provide?

Heavy bleeding is normal after this procedure.
If the results are abnormal, further testing will be performed.
The client should expect to have pain for 3 days after the procedure.
Abnormal results are indicative of cervical cancer.

If the results are abnormal, further testing will be performed.

A client reports dimpling of the breast tissue. Which of the following actions should the nurse take?

Notify the health-care provider (HCP).
Document the finding as normal.
Instruct the client to monitor for further changes.
Send the client for a mammogram.

Notify the health-care provider (HCP).

The nurse is teaching a client about breast self-examination (BSE). When should the nurse instruct the client to perform the exam?

1 week after menses
First day of menses
1 week before menses
Last day of menses

1 week after menses

The nurse is providing teaching for a client with fibrocystic breast disease. Which statement made by the client indicates a need for further teaching?

"I should take Tylenol for discomfort."
"I should try to lower my fat intake."
"Increasing my caffeine intake will reduce discomfort."
"It may be more difficult for me to feel early cancerous lumps."

"Increasing my caffeine intake will reduce discomfort"

The nurse is assessing a client who reports sudden onset of dysmenorrhea with no prior history. Which action should the nurse take first?

Encourage the client to lie in the knee-to-chest position.
Apply a hot pack to the abdomen.
Administer aspirin as ordered.
Notify the health-care provider (HCP).

Notify the health-care provider (HCP)

The nurse is caring for a client who has no family and is about to receive a diagnosis of breast cancer. Which action by the nurse is most appropriate?
1.
Go with the client to hear the health-care provider's (HCP's) explanation and clarify for the client.
2.
Tell the client ahead of time she has cancer so she expects the news.
3.
Allow the client to meet with the HCP alone.
4.
Consult a chaplain to meet with the client and HCP.

Go with the client to hear the health-care provider's (HCP's) explanation and clarify for the client

The nurse is caring for a client about to undergo a tubal ligation. The client has signed the consent but tells the nurse they aren't sure they want to have the procedure. Which action should the nurse take?

Notify the health-care provider immediately.
Assure the client that apprehension is normal.
Call the operating room (OR) and cancel the surgery.
Prepare the client for the procedure.

Notify the health-care provider immediately

A client asks the nurse about the difference between premenstrual syndrome (PMS) and premenstrual dysphoric disorder (PMDD). Which clinical manifestations set PMDD apart from PMS?

Depression
Headaches
Joint discomfort
Water retention

Depression

The nurse is preparing to assist the health-care provider with a pelvic exam. Which interventions should the nurse implement?

Cool the speculum by placing it under cold water.
Place the client in left side-lying position.
Instruct the client to hold their breath as the speculum is inserted.
Encourage the client to empty the bladder before the procedure.

Encourage the client to empty the bladder before the procedure

The nurse is caring for a client who underwent an endoscopic procedure. Which of the following warrants a phone call to the health-care provider?

Mild discomfort
Bright red bleeding
Blood pressure 114/74
Groggy

Bright read bleeding

The nurse is caring for a client receiving ketorolac (Toradol). Which of the following should the nurse consider before administering the medication?

Review current potassium level.
Assess for a cephalosporin allergy.
Only administer ketorolac for chronic pain.
Avoid use in clients taking anticoagulants.

Avoid use in clients taking anticoagulants.

Which of the following is shown here?
(arrow pointing to white ball on top left of uterus)

Ovary

The nurse is caring for a client with pelvic inflammatory disease (PID). Which birth control method should the nurse instruct the client to avoid?

Condoms
Oral contraceptives
Intrauterine device (IUD)
Transdermal contraception patch

Intrauterine device (IUD)

The nurse is caring for a client who is in perimenopause. Which clinical manifestations can the nurse expect to find?

pH shift toward acidity
Intolerance to cold
Regular menses
Decrease in natural lubrication

Decrease in natural lubrication1

The nurse is preparing to administer tamoxifen (Nolvadex) 20 mg by mouth. Available is tamoxifen (Nolvadex) 10-mg tablets. How many tablets will the nurse administer? Enter the numeral only.

2

The nurse is calculating intake for a client. The client received two antibiotics of 100 mL each, 2 liters of intravenous (IV) fluid, three juices at 12 0mL each, and 2 cups of water at 240 mL each. What is the client's total intake? Enter the numeral only.

3040

Estrogen therapy alone is indicated for women who have undergone which of the following?

Appendectomy
Mastectomy
Hysterectomy
Thyroidectomy

Hysterectomy

The nurse is caring for a client with toxic shock syndrome (TSS). Which clinical manifestation can the nurse expect to find?

Constipation
Chest pain
Redness of the palms and feet
Abnormal menstrual bleeding

Redness of the palms and feet

he nurse is caring for a client who is gravida 6, para 4. How many babies has this woman delivered?

4
6
8
10

4

The nurse is caring for a client who has an allergy to dye and iodine. Which order should the nurse question?

An ultrasound
A hysterosalpingogram
A Papanicolaou (Pap) smear
A cervical biopsy

A hysterosalpingogram

The nurse is caring for a group of clients. Which client is at highest risk for breast cancer?

A client who entered menopause at age 50
A client who had their first pregnancy at 22
A client who had ovarian cancer 10 years ago
A client who had their first menses at age 15

A client who had ovarian cancer 10 years ago

The nurse is preparing to administer ketorolac (Toradol) 15 mg intramuscularly (IM). Available is ketorolac (Toradol) 30 mg/mL. How many milliliters will the nurse administer? Enter the numeral only.

0.5

The nurse is caring for a client who just underwent a mastectomy. Which of the following interventions should the nurse implement?

Encourage cough and deep breathing.
Avoid any medication that may cause sedation.
Use the affected arm to assess blood pressure.
Avoid elevating the affected arm.

Encourage cough and deep breathing

The nurse is providing teaching for a client who is taking an oral contraceptive. Which of the following statements should concern the nurse?

"I should probably quit smoking because I'm on the pill."
"I will take a pill for each day as labeled on the dispenser."
"Sometimes I remember to take my pill, and sometimes I don't."
"I still need to use condoms so I don't get a sexually transmitted infection."

"Sometimes I remember to take my pill, and sometimes I don't"

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