Med Surge Exam 2: Part 1

What do fibrocystic changes and cysts do after menstration?

They usually resolve after menstration.

A client is concerned about the risk of lymphedema after a mastectomy. Which response by the nurse is best?

"Be careful not to injure that arm or get any infection in that arm."

The nurse is examining a woman's breast and notes multiple small mobile lumps. Which question would be most appropriate for the nurse to ask?

"Do the small lumps seem to change with your menstrual period?"

A client is discharged to home after a modified radical mastectomy with two drainage tubes. Which statement by the client would indicate that further teaching is needed?

"I am glad that these tubes will fall out at home when I finally shower."

A nurse has taught a female client about the modifiable risk factors for breast cancer. Which statement made by the client indicates that more teaching is needed?

"I am glad that we can still have wine with every evening meal."

The nurse is teaching a 45-year-old woman about her fibrocystic breast changes. Which statement by the client indicates a lack of understanding?

"This condition will become malignant over time."

The nurse is taking a history of a 68-year-old woman. What assessment findings would indicate a high risk for the development of breast cancer? (Select all that apply.)

- Age greater than 65 years - Increased breast density - Genetic factors - Early menarche

After a breast examination, the nurse is documenting assessment findings that indicate possible breast cancer. Which abnormal findings need to be included as part of the client's electronic medical record? (Select all that apply.)

- Peau d'orange - Nipple retraction - Mobile mass at 2 o'clock - Skin ulceration

11. Which client does the nurse understand has the greatest need for evaluation of possible endometrial cancer? A. 63-year-old having bleeding after menopause B. 51-year-old having irregular menses for 6 months C. 35-year-old with report of multiple sexual partners D. 23-year-old with no menstrual period for 3 months

A

17. When teaching a client about the loop electrosurgical excision procedure (LEEP) for cervical cancer, what does the nurse instruct the client is expected after the surgery? A. Spotting with slight pain B. Menses-like vaginal bleeding C. Cramps lasting during the first 48 hours D. Watery discharge during the first week

A

5. In addition to the pelvic examination, for which diagnostic test will the nurse most likely prepare a client suspected to have uterine leiomyomas? A. Transvaginal ultrasound B. Laparoscopy C. Hysteroscopy D. Endometrial biopsy

A

7. What will the nurse do first when a natal male client who appears to be female has an order for placement of a urinary indwelling catheter for hourly urine output measurement? A. Introduce himself or herself, ask how the client prefers to be addressed, verify the client's identity by checking the name band, and explain the procedure. B. Respectfully address the client by the name on the chart and armband, then perform catheter insertion for a male client. C. Inspect the genitalia and adapt the catheter insertion as appropriate while avoiding the use of gender-specific language. D. Politely leave and obtain advice from the charge nurse about whether to treat the client as male or female.

A

Which statement made to the nurse by a client most accurately describes self-identification as transgender? A. "Since childhood I have always felt like I was born in the wrong body." B. "I have always been attracted to other women and they are attracted to me." C. "I think women are more amazing and influential and I prefer to be viewed as a woman." D. "I enjoy wearing women's clothes because they are pretty and feel so nice."

A

5. Which recommendations will nurses follow to create a safe, welcoming environment for LGBTQ client care? Select all that apply. A. Designating unisex or single-stall restrooms B. Making waiting rooms inclusive of LGBTQ clients and families C. Not limiting gender options on medical forms to "male" and "female" D. Ensuring that visitation policies are equitable for families of LGBTQ clients E. Reflecting the client's choice of terminology in communication and documentation F. Including gender-neutral language on all medical forms and documents

A, B, C, D, E, F

7. Which activity restrictions will the nurse teach a client to follow after vaginal hysterectomy? Select all that apply. A. Limit stair climbing to less than five times a day. B. Do not lift anything heavier than 5 to 10 lb. C. Gradually increase walking as exercise. D. Do not cross your legs at the knees. E. Avoid sitting for extended periods of time. F. Do not drive until the surgeon tells you it's permitted.

A, B, C, D, E, F

9. Which nonsurgical treatments for pelvic organ prolapse would the nurse teach a client about? Select all that apply. A. Pelvic floor muscle (Kegel) exercises B. Space-filling vaginal pessaries C. Bladder training program D. Low-fiber diet E. Stool softeners F. Laxatives

A, B, C, E, F

4. For which complications will the nurse monitor in a client after hysteroscopic surgery for uterine leiomyomas? Select all that apply. A. Embolism B. Fluid overload C. Pneumonia D. Hemorrhage E. Persistent increased menstrual bleeding F. Cardiac dysrhythmias such as atrial fibrillation

A, B, D, E

Which increased health risks will the nurse monitor for when a transgender client is prescribed estrogen therapy? Select all that apply. A. Elevated blood glucose B. Fluid retention C. Hypotension D. Estrogen-dependent cancer E. Kidney disease F. Venous thromboembolism

A, B, D, F

16. What information will the nurse include when providing discharge teaching to a client who had a local cervical ablation? Select all that apply. A. Do not use tampons or douche. B. Take tub baths instead of showers. C. Refrain from sexual activity. D. Avoid lifting heavy objects. E. Expect to run a fever for the first week to 10 days. F. Report heavy bleeding or foul-smelling drainage.

A, C, D, F

About which factors will the nurse ask a client who is suspected of having uterine leiomyomas? Select all that apply. A. Hypertension B. Type 2 diabetes C. Early menarche D. Alcohol use E. Postmenopausal F. Heavy consumption of red meat

A, C, D, F

10. What physical changes will the nurse teach a client to expect when undergoing estrogen therapy for male-to-female (MtF) transition? Select all that apply. A. Decreased testicular size B. Increased libido (sex drive) C. Reduced muscle mass D. Increased erectile function E. Softening of skin F. Increased body hair growth

A, C, E

12. Which body parts does the nurse teach a client are removed during surgery for endometrial cancer? Select all that apply. A. Uterus B. Vagina C. Fallopian tubes D. Rectum E. Ovaries F. Bladder

A, C, E

19. Which common nonsexually transmitted causes will the nurse ask a client about to determine possible causes of vulvovaginitis? Select all that apply. A. Yeast infection B. Herpes simplex C. Feminine hygiene sprays D. Pediculosis pubis E. Tight-fitting clothes F. Vaginal sponges

A, C, E, F

Six months later, the client returns because she has noticed a lump in her left breast. Upon examination, a small mass is palpated. A diagnostic mammogram is ordered and confirms the presence of a 2 × 3 cm mass. The client is scheduled for a surgical excisional biopsy. What should the client be taught about this procedure?

ANS: An excisional biopsy removes the mass itself for histologic (cellular) evaluation for cancer.

What teaching will the nurse provide to a client who will have a PSA test? (Select all that apply.) A. "This test requires a blood draw." B. "Fast after midnight before the test." C. "You must have this test done every six months." D. "This test is highly specific in detecting prostate cancer." E. "Do not have intercourse for at least a week before testing."

ANS: A A PSA test is done by obtaining a blood sample. Fasting and sexual abstinence are not required. The client should talk with the health care provider to determine whether annual (not six month) testing is recommended. There is variance among health care providers when interpreting PSA results; conditions other than prostate cancer can cause PSA to rise.

The nurse is caring for a client who has been recently diagnosed with fibrocystic breast condition. What teaching will the nurse provide?A. Use analgesics for pain controlB. Eat yogurt to increase calcium intakeC. To be comfortable, do not wear a bra at homeD. Increase salt intake before menses each month

ANS: A Analgesics may decrease pain for clients who have FBC. Dairy and salt intake should be discouraged. Wearing a bra at all times can increase comfort.

The nurse is caring for four female clients. Which client does the nurse identify at the risk for breast cancer? A. 28-year-old African-American with early menarche B. 36-year old Asian-American with 3 children C. 45-year-old Native American with family history of lung cancer D. 50-year-old Caucasian American with ongoing menarche

ANS: A The rate of breast cancer in African-American women younger than 60 years is higher than for others in that age-group (Centers for Disease Control and Prevention [CDC], 2018). African-American women are also 40% more likely to die from breast cancer than white women (CDC). African-American women have the highest risk for triple-negative breast cancer (Anders & Carey, 2019). The other female clients do not have high risk factors.

What teaching will the nurse provide to a client scheduled for a total abdominal hysterectomy? A. The client will no longer have a period. B. Vaginal drainage may be bloody for the first month. C. Proper nutrition must be consumed to avoid weight gain. D. This surgical procedure eliminates menopausal symptoms.

ANS: A The patient will no longer have a period after a total abdominal hysterectomy, and menopausal symptoms will be experienced since the ovaries are removed in this procedure. Although vaginal discharge may be present for a few days after discharge, it should not persist for a month. Weight gain is not associated with a hysterectomy.

The nurse is caring for a 24-year old female client who is menstruating reports running a temperature and aching for 2 days, and having "a sunburn". Which nursing action is appropriate? A. Contact the health care provider B. Apply aloe vera to the sunburned area C. Administer acetaminophen as prescribed D. Recommend increasing fluids and resting

ANS: A This client may be at risk for toxic shock syndrome. Symptoms include fever (which remains elevated despite treatment), diffuse macular rash (which often resembles a sunburn), myalgias, and hypotension. The health care provider must be notified, as TSS can lead to death if left untreated. All other options delay treatment and do not address the priority problem.

When assessing the patient with benign prostatic hyperplasia (BPH). Which assessment finding does the nurse anticipate?

In a patient with BPH, a distended bladder is anticipated.

A 53-year-old perimenopausal female broke her wrist after falling from a ladder. She reports no health concerns other than intermittent fatigue, insomnia, and hot flashes. What assessment questions should the nurse ask? Select all that apply. A. "What kind of exercise do you normally do?" B. "Weren't you using caution on the ladder?" C. "What kinds of foods you usually eat?" D. "Are you currently taking any drugs or supplements?" E. "Is there a family history of heart disease?"

ANS: A, C, D, E Healthy lifestyle habits can reduce the severity and incidence of perimenopausal symptoms. Routine exercise decreases bone loss and improves mood and cognitive function. Proper nutrition is also important in the management of blood sugar, weight, and treatment of bone calcium loss associated with menopause. It is also important to inquire about the cardiac history and medication history, including over-the-counter medications, when conducting a health history of a middle-aged woman. Asking about using caution on the ladder is inappropriate and would likely be perceived as rude.

The nurse is taking a history for a 66-year-old female client whose sister has breast cancer. She is married and has never been pregnant. She smokes, but states she has "cut down a lot lately" and reports consuming "a couple" of glasses of wine daily. What factors place this client at risk for breast cancer? (List all that apply.)

ANS: Age is the primary risk factor for breast cancer. Additional risk factors include family history with first-degree relatives, nulliparity, smoking, and alcoholic consumption of two or more drinks per day.

The nurse is caring for a client who has just been prescribed sildenafil for erectile dysfunction. Which teaching will the nurse provide? A. Take one hour before intercourse B. Be cautious when standing up quickly C. Drink grapefruit juice when taking drug D. Perform hand-washing before giving injection

ANS: B Phosphodiesterase-5 inhibitors can lower blood pressure so the nurse will teach the client to use caution when standing up quickly. This drug, which comes in pill form, must be taken approximately 15 minutes before intercourse and should not be taken with grapefruit juice.

2. What information will the nurse include when teaching this client about health promotion? (Select all that apply.) A. Mammograms are not effective in diagnosing breast cancer. B. An MRI of the breasts should be completed every year. C. Ask your provider to perform a clinical breast examination (CBE). D. Notify your provider if you notice changes in your breasts. E. Breast self-examination (BSE) is the best way to detect breast cancer early.

ANS: C, D Evidence shows that screening mammograms, clinical breast examinations, and breast self-awareness are the best approaches toward health promotion and maintenance for average-risk women. An MRI is not needed annually. Changes in breasts should be reported to the health care provider. BSE, for women who choose to practice this, can be performed to establish a baseline for breast familiarity, but it is not the best way to detect breast cancer early.

What priority question will the nurse ask when taking a history of a client with BPH? A. "Do you have high blood pressure?" B. "Have you had a recent urinary tract infection?" C. "Do you have a family history of kidney disease?" D. "Do you have difficulty starting and continuing urination?"

ANS: D Benign prostatic hyperplasia (BPH) can lead to chronic urinary retention causing a backup of urine with gradual dilation of the ureters (hydroureter) and kidneys (hydronephrosis). These problems can lead to chronic kidney disease.

What teaching will the nurse provide to a client who has been scheduled for a transvaginal ultrasonography?A. Fast after midnight B. Gel will be applied to the abdomen C. A full bladder is needed for this test D. A transducer covered in a condom will be used for this assessment

ANS: D Gel is applied to the condom covering the transducer that will be used for this assessment; not the abdomen. This test does not require fasting. The patient should have an empty or only partially filled bladder for this test.

Pathologic examination of the removed breast lump tissue reveals malignancy. The client undergoes a modified radical mastectomy with lymph node dissection, which will be followed by radiation and chemotherapy.4. What immediate postoperative intervention will the nurse implement? A. Check vital signs every four hours. B. Position the client supine to facilitate drainage. C. Instruct assistive personnel (AP) to avoid taking blood pressure (BP) in the client's right arm. D. Measure the Jackson-Pratt tube drainage and assess color and odor.

ANS: D The client's left breast was removed; the left arm is affected, so it should not have BPs, injections, or venipunctures performed on it. Those types of procedures should be performed on the right arm. Vital signs should be checked every 30 minutes twice, then every hour twice, and then every 4 hours. The client should be positioned with the head of the bed elevated at least 30 degrees to facilitate drainage. Drainage should be assessed for color and odor.

The nurse is caring for a client who just had a bilateral mastectomy. When the client states, "my partner is going to hate how I look", what is the appropriate nursing response? A. "I'm sure your partner will be accepting." B. "Have you asked your partner about their feelings?" C. "We can work on that after you are feeling stronger." D. "It sounds like you are concerned about how your body looks after surgery."

ANS: D The nurse should allow the client to continue expressing feelings by verbalizing the implied meaning of the client's statement. Other statements either minimize the client's feelings or discourage ongoing expression of emotion that is often associated with breast cancer and surgical intervention.

Which client statement, reported during a history, requires immediate nursing intervention? A. "I began my menses at age 12." B. "I was pregnant once and miscarried." C. "My breasts hurt when I start my monthly cycle." D. "My spouse will be upset if I talk about our sex life."

ANS: D All of these questions could prompt further exploration by the nurse, but the client's reluctance to discuss their sexual relationship because the spouse may be upset may suggest abuse or unsafe circumstances for the client. The nurse should follow up immediately on this statement.

The nurse is caring for a client who has had a transurethral resection of the prostate (TURP). Which assessment finding requires immediate nursing intervention? A. Temperature 99.9 °F B. Pain of 6 on 0-10 scale C. Report of bladder spasms D. Bleeding from the surgical site

ANS: D The patient may be at risk for pain, infection, and bladder spasms after a TURP, but the highest risk of concern is for hemorrhage. After a TURP, assess for postoperative bleeding. Patients who undergo a TURP or open prostatectomy are at risk for severe bleeding or hemorrhage after surgery. Although rare, bleeding is most likely to occur within the first 24 hours. Blood transfusions are commonly given after a TURP surgery, but not needed after the HoLEP procedure. Bladder spasms or movement may trigger fresh bleeding from previously controlled vessels. This bleeding may be arterial or venous, but venous bleeding is more common.

A woman is interested in alternative and complementary treatments for the nausea and vomiting caused by the side effects of chemotherapy for breast cancer. Which therapies wound the nurse suggest? (Select all that apply.)

Acupuncture - Aromatherapy - Shiatsu

The nurse is formulating a teaching plan according to evidence-based breast cancer screening guidelines for a 50-year-old woman with low risk factors. Which diagnostic methods would be included in the plan? (Select all that apply.)

Annual mammogram - Breast self-awareness - Clinical breast examination

A 70-year-old man reports difficulty with starting a urine stream and dribbling after urination. What questions will the nurse ask when taking the client's history?

Ask the patient about urinary pattern, frequency, nocturia, and changes in the force and size of the urinary stream. Ask about blood in the urine—BPH is a common cause of hematuria in older men.

A proliferative breast disorder involving growth of breast cells that are abnormal is called what?

Atypical Hyperplasia

13. Which finding does the nurse assess to determine that a female-to-male (FtM) client prescribed testosterone is having the desired effect? A. Client reports breast tenderness. B. Nurse observes increased body hair. C. Client reports decreased sex drive. D. Nurse observes average sized male penis.

B

15. Which action will the nurse expect to take when a client diagnosed and treated for ovarian cancer has a recurrence? A. Arranging discussions with others who have recurring cancer B. Assessing readiness to explore palliative care and hospice C. Assisting to identify complementary therapies that may be helpful for palliation D. Teaching about radical hysterectomy followed by brachytherapy

B

18. Which instruction will the nurse provide to the client who is currently receiving brachytherapy for gynecologic cancer?A. Call for help when getting out of bed.B. Stay in bed during the treatment session.C. Use a separate bathroom when you go home.D. Avoid being near children when you are home.

B

3. When the nurse interviews a transgender client, which statement is of greatest concern for failure to cope with major life stressors? A. "I smoke two to three packs of cigarettes every day." B. "I've tried to commit suicide four times in my life." C. "When I feel really down, I drink and use marijuana." D. "Last night I went to a bar and picked up a stranger for sex."

B

8. Which condition is the client most likely to report to the nurse after uterine prolapse? A. "I have to use the bathroom much more often than I used to." B. "It feels like something is falling out down there." C. "I leak urine whenever I laugh, cough, or sneeze." D. "I've had two urinary tract infections in the last 3 months."

B

16. Which information will the nurse include when teaching a client who had a vaginoplasty about self-care management? Select all that apply. A. Do not take baths (submerged in water) for 8 months after surgery. B. Avoid tobacco or smoking for at least a month after surgery to promote healing. C. Carefully follow the prescribed individualized dilator protocol. D. Do not have sexual intercourse until at least 3 months after surgery. E. Avoid swimming or bike riding for 3 weeks. F. Take acetaminophen as prescribed for pain control at home.

B, C, D, F

22. Which clinical signs and symptoms will the nurse assess for when a client is admitted with a diagnosis of toxic shock syndrome (TSS)? Select all that apply. A. Itching B. Fever C. Macular rash D. Hypertension E. Myalgias F. Vaginal lesions

B, C, E

11. Based on the guidelines from the World Professional Association for Transgender Health (WPATH), which clients meet the criteria for gender-affirming hormonal therapy? Select all that apply. A. 16-year-old who has experienced gender dysphoria since early childhood B. 30-year-old with gender dysphoria and no physical or mental health problems C. 40-year-old who would like to temporarily try being a member of the opposite sex D. 45-year-old with gender dysphoria since grade school and well-controlled hypertension E. 62-year-old with known history of gender dysphoria and symptoms of dementia F. 65-year-old lesbian with history of multiple suicide attempts

B, D

14. Which nursing actions are included in the preoperative care of a male-to-female (MtF) client who will undergo a vaginoplasty? Select all that apply. A. Give nothing by mouth for 24 hours prior to surgery. B. Administer an enema and laxatives as prescribed. C. Instruct the client to ambulate because positioning for surgery will be prolonged. D. Monitor for and report hematocrit and hemoglobin level results. E. Administer preoperative antimicrobials to minimize infection. F. Monitor and record the drainage from the Jackson-Pratt drain.

B, D, E

3. What are the nurse's best actions when a client with uterine leiomyomas reports pelvic pressure, constipation, and urinary retention? Select all that apply. A. Check the lower extremities for fluid retention. B. Assess the abdomen for distention or enlargement. C. Measure fluid intake and urinary output. D. Ask the client if her pants fit tighter now. E. Measure residual urine using a urinary catheter. F. Measure the abdomen as a baseline for comparison.

B, D, F

10. Which statement by a client to the nurse indicates that her anterior colporrhaphy has achieved the desired therapeutic outcome? A. "That constipated feeling has resolved." B. "The abdominal pain is almost gone." C. "I have good control over my urination." D. "My vaginal bleeding has completely stopped."

C

13. Which care action will the nurse assign to the assistive personnel (AP) for a client receiving external radiation therapy for treatment of endometrial cancer? A. Gently washing the markings outlining the treatment site B. Monitoring for skin breakdown in the perineal area C. Assisting the client to ambulate to the bathroom if she feels fatigued D. Assessing the urinary catheter and urine output for color and odor

C

15. Which client report indicates to the nurse that one of the most serious complications of vaginoplasty has occurred? A. Burning sensation during urination B. Urinary incontinence when sneezing C. Leakage of stool from the vagina D. Tenderness and bruising of the labia

C

2. What does the nurse expect was documented as the presenting symptom for a female client admitted with uterine leiomyomas? A. Foul-smelling vaginal discharge B. Intermittent abdominal pain C. Heavy vaginal bleeding D. Urinary stress incontinence

C

2. What question will the nurse ask first when a client's medical record states that he has gender dysphoria? A. "Do you think of yourself as male or female?" B. "Are you seeking interventions for sex reassignment?" C. "How do you prefer to be addressed?" D. "What issues of sexuality would you like to talk about?"

C

23. Which preventive measure will the nurse include when teaching a group of female clients about prevention of toxic shock syndrome? A. "Use sanitary napkins on heavy flow days." B. "Use superabsorbent tampons only at night." C. "Change the tampon every 3 to 6 hours." D. "Void before and immediately after intercourse."

C

8. What is the nurse's best action after inadvertently making an error when addressing a transgender client by not using their preferred name or pronoun? A. Apologize and explain that working with transgender clients is a new experience. B. Assume that the client is used to this type of error and continue providing care. C. Self-correct and continue providing care rather than making a prolonged apology. D. Observe the client's nonverbal behavior to determine whether the error was noticed

C

12. Which laboratory result will the nurse monitor to prevent harm when a client on estrogen therapy is also prescribed spironolactone? A. Blood glucose level B. Platelet count C. White blood cell count D. Serum potassium level

D

14. What primary factor does the nurse understand is the reason for low survival rates in clients with ovarian cancer? A. Ovarian cancer develops in clients with underlying immunosuppression and poor health. B. There are no specific diagnostic tests that can confirm or rule out ovarian cancer. C. Ovarian cancer does not respond well to conventional radiation or chemotherapy treatments. D. Symptoms are mild and vague, so the cancer is often not detected until in its late stage.

D

20. What self-management strategy will the nurse recommend to a client to prevent vulvovaginitis? A. Wear lightweight nylon underwear. B. Apply antiseptic cream to the perineal area daily. C. Cleanse the inner labial mucosa with antiseptic soap. D. Choose breathable fabrics to wear such as cotton.

D

21. Which question does the nurse ask when a 22-year-old female client is being evaluated for possible toxic shock syndrome (TSS)? A. "How many pads do you use on heavy flow days?" B. "Have you every used intravaginal estrogen therapy?" C. "Do you have a history of multiple sexual partners?" D. "Do you use an insertable contraceptive device?"

D

6. In which circumstance will the nurse make a clinical judgment to forgo extensive questioning about a client's gender identity? A. The client is dressed like a man and wants information about hormones that feminize the body. B. The client has recurrent urinary tract infections despite compliance with the medication treatment regime. C. The client appears to be male but requests a pelvic examination by a female health care provider. D. The client requires treatment for a severely sprained ankle sustained during a soccer game.

D

6. Which client does the nurse understand is most suitable to undergo a uterine artery embolization procedure for leiomyomas?A. 18-year-old who is unmarried B. 25-year-old who is engaged to be married C. 35-year-old who is married and wants a child D. 46-year-old who is divorced with four children

D

The nurse has been assigned to care a FtM client whose name is recorded as both Grace Kart and Grey Kart in the electronic health record. How will the nurse address the client? A. "It's nice to meet you, Grace." B. "How are you feeling today, Grey?" C. "Ms. Kart, I will be your nurse today." D. "My name is Kris. How would you like me to address you?"

D

4. From the acronym LGBTQ, which terms will the nurse understand refer to the sexual orientation of a client? Select all that apply. A. Questioning B. Queer C. Transgender D. Bisexual E. Gay F. Lesbian

D, E, F

During dressing changes, the nurse assesses a client who had breast reconstruction. Which finding would cause the nurse to take immediate action?

Dusky color of the breast flap

The nurse is working with a male client who has gynecomastia. What action by the nurse is most appropriate?

Educate him on the side effects of tamoxifen.

A proliferative breast lesion without atypia, and the most common benign tumor is called what

Fibroadenoma

The health care provider orders a prostate ultrasound; the client is soon diagnosed with BPH, and prescribed finasteride. What teaching will the nurse provide?

Finasteride is a 5-alpha reductase inhibitor (5-ARI) that lowers DHT and shrinks the prostate as well as prevents further growth. It is important to remind clients taking a 5-ARI drug that it may take up to 6 months before improvement occurs. Side effects include erectile dysfunction and decreased libido.

A client is starting hormonal therapy with tamoxifen to lower the risk for breast cancer. What information needs to be explained by the nurse regarding the action of this drug?

It selectively blocks estrogen in the breast

Which finding in a female client by the nurse would receive the highest priority for further diagnostics?

Nontender fixed mass in the upper outer quadrant of the breast

A younger woman from an unfamiliar culture is at high risk for breast cancer and is considering a prophylactic mastectomy and oophorectomy. What action by the nurse is most appropriate?

Offer to include support people, such as the male partner, in the decision making.

Woman with Atypical Hyperplasia should be taught to avoid what?

Oral contraceptives AND avoid hormone replacement therapy

What blood test do we use to screen prostate cancer in men, and to monitor the disease after treatment.

PSA test = prostate- specific antigen

A client is placed on a medical regimen of doxorubicin (Adriamycin), cyclophosphamide, and fluorouracil for breast cancer. Which side effect seen in the client would the nurse report to the primary health care provider immediately?

Shortness of breath

TRUE or FALSE: There should be an Assessment of the reproductive system during every complete physical assessment.

TRUE

A client has just returned from a right radical mastectomy. Which action by the assistive personnel (AP) would require the nurse consider to intervene?

Taking the blood pressure on the right arm

Six months later, the client's symptoms have not significantly improved. After consulting with a surgeon, he is scheduled for a transurethral resection of the prostate (TURP). Which postoperative interventions will the nurse provide?

The client should be helped out of bed to the chair as soon as permitted to prevent complication of immobility. The nurse will assess for signs of infection, check urinary output every 2 hours, remind the client that urine may be blood-tinged, and administer pain and antispasmodic medications as needed.

In regards to sexuality and assessing the patient we want to respect ____________ and differences in __________ and practices

gender identity and differences in sexual orientation