A nurse is providing teaching to a young adult client who has fibrocystic breast condition. Which of the following instructions should the nurse include in the teaching?

Wear a supportive bra 24 hr a day.

Perform a breast self-exam 1 week before menstruation.

Have a mammogram every 4 years.

Increase caffeine intake.

Answer and Explanation

The Correct Answer is B

Choice A rationale:

While wearing a supportive bra is generally advisable, wearing it 24 hours a day is not necessary and may cause discomfort.

Choice B rationale:

Performing a breast self-exam 1 week after menstruation is recommended for individuals with fibrocystic breast condition. Hormonal changes during the menstrual cycle can affect breast tissue, and examining the breasts when they are less likely to be affected by hormonal fluctuations can provide a more accurate baseline for self-examination.

Choice C rationale:

Mammograms are recommended more frequently than every 4 years, especially for those with fibrocystic breast condition or other risk factors.

Choice D rationale:

Increasing caffeine intake can exacerbate symptoms of fibrocystic breast condition. Caffeine is known to contribute to breast pain and tenderness.

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Correct Answer is D

Explanation

Choice A rationale:

Monitoring for hearing loss is not a specific action for primary syphilis. Hearing loss can occur in later stages of syphilis.

Choice B rationale:

Contact precautions are not typically required for primary syphilis, as it is primarily transmitted through sexual contact.

Choice C rationale:

Antiviral medications are not used to treat syphilis. Antibiotics are the primary treatment.

Choice D rationale:

Syphilis is a sexually transmitted infection that is required to be reported to the public health department for tracking and control.

A. 15 mL of drainage in Hemovac B. Periorbital ecchymosis C. Nonreactive pupils D. Hgb 11 g/dL

Correct Answer is C

Explanation

Choice A rationale:

Drainage in the Hemovac is an expected finding postoperatively and is not as urgent as nonreactive pupils.

Choice B rationale:

Periorbital ecchymosis (bruising around the eyes) is not uncommon after a craniotomy and is not as urgent as nonreactive pupils.

Choice C rationale:

Nonreactive pupils can indicate a neurological emergency, such as increased intracranial pressure or potential damage to the cranial nerves. This finding requires immediate attention to prevent further complications.

Choice D rationale:

Hemoglobin level of 11 g/dL is within a normal range and is not a priority concern.

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A nurse is providing teaching to a young adult client who has fibrocystic breast condition. Which of the following instructions should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning care for a client who has primary syphilis. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

A nurse is assessing a client who is 4 hr postoperative following a craniotomy for the treatment of a benign brain tumor. Which of the following findings should the nurse identify as the priority?

Correct Answer is C

Explanation

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