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 B

Explanation

Choice A rationale:

A positive Rheumatoid factor is associated with rheumatoid arthritis and is not an adverse effect of methotrexate.

Choice B rationale:

A low WBC count (leukopenia) is an adverse effect of methotrexate and can increase the risk of infection.

Choice C rationale:

A hemoglobin level of 14.8 g/dL is within a normal range and is not an adverse effect of methotrexate.

Choice D rationale:

An erythrocyte sedimentation rate (ESR) of 24 mm/hr is within a normal range and is not an adverse effect of methotrexate.

A. Sparse eyelashes B. Reports cracked skin on feet C. Reports persistent neck pain D. Hyperflexibility

Correct Answer is C

Explanation

Choice A rationale:

Sparse eyelashes are a common physical characteristic of individuals with Down syndrome and do not typically require immediate notification of the provider.

Choice B rationale:

Cracked skin on feet is not uncommon, and while it may need attention, it does not generally require immediate notification of the provider.

Choice C rationale:

Persistent neck pain in a child with Down syndrome could indicate an underlying issue and should be reported for further evaluation.

Choice D rationale:

Hyperflexibility is a common feature of Down syndrome and does not typically require immediate notification of the provider.

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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 monitoring the laboratory values of a client who has rheumatoid arthritis and is taking methotrexate. Which of the following values should the nurse identify as an adverse effect of the medication?

Correct Answer is B

Explanation

A nurse is assessing a school-age child who has Down syndrome. For which of the following findings should the nurse notify the provider?

Correct Answer is C

Explanation

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