During a clinical breast examination, the nurse palpates a well-defined, firm, mobile lump in a 60-year-old woman's left breast. The nurse notifies the primary care provider. What would the nurse anticipate the care provider to prescribe next?

mammogram

hormone receptor status

fine-needle aspiration

genetic testing for BRCA

Answer and Explanation

The Correct Answer is A

A. Mammogram

A mammogram is typically the next step in the diagnostic process when a breast lump is detected during a clinical breast examination. Mammography allows for further evaluation of the lump and surrounding breast tissue to determine its characteristics, such as size, shape, and density. It is an important tool for detecting breast abnormalities, including masses and calcifications, which can help in diagnosing breast cancer.

B. Hormone receptor status

While hormone receptor status testing may be part of the diagnostic workup for breast cancer, it is usually not the immediate next step after discovering a breast lump during a clinical examination. Hormone receptor status testing is typically performed after a confirmed diagnosis of breast cancer to guide treatment decisions, such as the use of hormone therapy.

C. Fine-needle aspiration

Fine-needle aspiration (FNA) may be used in conjunction with other diagnostic tests, such as mammography or ultrasound, to further evaluate a breast lump. However, it is not typically the first step in the diagnostic process, especially if a lump is found during a clinical breast examination. FNA involves using a thin needle to extract cells or fluid from the lump for examination under a microscope to determine if it is benign or malignant.

D. Genetic testing for BRCA

Genetic testing for BRCA mutations is typically not the immediate next step after finding a breast lump during a clinical examination. Genetic testing for BRCA mutations is usually recommended for individuals with a strong family history of breast or ovarian cancer or those who meet specific criteria based on personal or family history. It is not typically the initial diagnostic step in evaluating a breast lump.

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Free Nursing Study Resources

Correct Answer is ["C","D"]

Explanation

A. "Your membranes may rupture earlier than normal." - This statement is not directly associated with chlamydia infection during pregnancy. Premature rupture of membranes (PROM) can occur due to various factors, but chlamydia infection is not a direct cause.

B. "It will not have any effect on your pregnancy." - This statement is incorrect. Chlamydia infection during pregnancy can have implications for both the mother and the baby, so it is not accurate to say it will not have any effect.

C. "Your newborn can be infected during birth." - This is an accurate statement. Chlamydia can be transmitted from the mother to the newborn during vaginal childbirth, leading to neonatal chlamydial infection.

D. "Your newborn may have eye infections from this infection." - This is also correct. Neonatal chlamydial infection can cause conjunctivitis (eye infection) in newborns if they are exposed to the bacteria during delivery.

E. "Your newborn is protected from this infection." - This statement is incorrect. Newborns are not inherently protected from chlamydial infection if the mother is infected. Without appropriate treatment and preventive measures, the newborn can contract the infection during birth.

A. promote the progression of disease. B. conduct additional drug research. C. intervene in late-stage AIDS. D. improve survival rates.

Correct Answer is D

Explanation

A. Promote the progression of disease:

This statement is incorrect. The goal of HIV treatment is precisely the opposite: to inhibit the progression of the disease. HIV treatment, particularly antiretroviral therapy (ART), aims to suppress the replication of the virus in the body, slow down the progression of HIV infection, and prevent the development of AIDS-related complications. Promoting the progression of the disease would be counterproductive and contrary to the objectives of HIV management.

B. Conduct additional drug research:

Conducting additional drug research may be a goal in the broader context of advancing HIV treatment and finding new therapeutic approaches. However, it is not the primary goal of providing aggressive drug therapy to an individual client who is already undergoing treatment for HIV. The focus of aggressive drug therapy in this scenario is to effectively manage the virus, improve the client's health outcomes, and enhance their quality of life.

C. Intervene in late-stage AIDS:

Intervening in late-stage AIDS may be necessary in some cases to manage complications and improve outcomes for individuals with advanced HIV disease. However, the goal of aggressive drug therapy for HIV is not specifically to intervene only in late-stage AIDS. Instead, the goal is to initiate treatment as early as possible after HIV diagnosis, regardless of disease stage, to prevent the progression of HIV infection to AIDS and to maintain immune function.

D. Improve survival rates:

This is the correct choice. The primary goal of aggressive drug therapy for HIV, particularly with antiretroviral therapy (ART), is to improve survival rates. By effectively suppressing the replication of the virus, ART helps to preserve immune function, reduce the risk of opportunistic infections, and prolong the lifespan of individuals living with HIV. Improving survival rates is a key objective of HIV treatment and reflects the success of aggressive drug therapy in managing the infection.

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During a clinical breast examination, the nurse palpates a well-defined, firm, mobile lump in a 60-year-old woman's left breast. The nurse notifies the primary care provider. What would the nurse anticipate the care provider to prescribe next?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A pregnant woman is diagnosed with chlamydia and asks the nurse, "How will this infection affect my baby and pregnancy?" Which responses by the nurse are accurate? (Select All that Apply.)

Correct Answer is ["C","D"]

Explanation

The nurse is developing a plan of care for a client who is receiving aggressive drug therapy for treatment of HIV. The goal of this therapy is to:

Correct Answer is D

Explanation

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