Author Question: A teen patient is tearful and reports locating lumps in her breasts. Other history obtained is that ... (Read 31 times)

humphriesbr@me.com · **on:** Jul 23, 2018

A teen patient is tearful and reports locating lumps in her breasts. Other history obtained is that she is currently menstruating. Physical examination reveals soft and movable cysts in both breasts that are painful to palpation.

The nurse also notes that the patient's nipples are erect, but the areolae are wrinkled. The next nursing step is which of the following?
a. Reassure patient that her symptoms are normal.
b. Consult a breast surgeon because of the abnormal nipples and areolae.
c. Discuss fibrocystic disease as the likely cause.
d. Tell the patient that the symptoms may get worse when her period ends.

Question 2

During a genitourinary examination of a 30-year-old male patient, the nurse identifies a small amount of a white, thick substance on the patient's uncircumcised glans penis. The nurse's next step is to

a. Notify his provider about a suspected STI.
b. Recognize this as a normal finding.
c. Tell the patient to avoid doing self-examinations until symptoms clear.
d. Avoid embarrassing questions about sexual activity.

sultansheikh · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: C
A common benign condition of the breast is benign (fibrocystic) breast disease. This patient has symptoms of fibrocystic disease, which include bilateral lumpy, painful breasts sometimes accompanied by nipple discharge. Symptoms are more apparent during the menstrual period. When palpated, the cysts (lumps) are soft, well differentiated, and movable. Deep cysts feel hard. Although a common condition, benign breast disease is not normal; therefore, the nurse does not tell the patient that this is a normal finding. During examination of the nipples and areolae, the nipple sometimes becomes erect with wrinkling of the areola. Therefore, consulting a breast surgeon to treat her nipples and areolae is not appropriate.

Answer to Question 2

ANS: B
A small amount of thick, white smegma sometimes collects under the foreskin in the uncircumcised male. Penile pain or swelling, genital lesions, and urethral discharge are signs and symptoms that may indicate STI. All men 15 years and older need to perform a male-genital self-examination monthly. The nurse needs to assess a patient's sexual history and use of safe sex habits. Sexual history reveals risks for STI and HIV.