A 20-year-old patient calls the clinic to report that she has ...

[oliviahorn72]

A 20-year-old patient calls the clinic to report that she has found a lump in her breast. The nurse's best response is:
 
  a. Don't worry about it. I'm sure it's nothing.
  b. Wear a tight bra, and it should shrink.
  c. Many women have benign lumps and bumps in their breasts. However, to make sure that it's benign, you should come in for an examination by your physician.
  d. Check it again in 1 month and call me back if it's still there.

Question 2

A client is hospitalized for pelvic inflammatory disease. Which of the following nursing interventions would have priority?
 
  1. Encourage oral fluids.
  2. Administer cefotetan IV.
  3. Enforce bedrest.
  4. Remove IUD, if present.

[carojassy25]

Answer to Question 1

C

Feedback
A Discrediting the patient's findings may discourage her from continuing with breast self-examination.
B Wearing a tight bra may irritate the skin and will not cause the lump to shrink.
C Try to ease the patient's fear, but provide a time for a thorough evaluation of the lump because it may indicate abnormal changes in the breast.
D Delaying treatment may allow proliferation of abnormal cells.

Answer to Question 2

2
Rationale:
1. Encouraging oral fluids is not a priority.
2. Administration of medications to treat the disease is priority.
3. Bedrest is not a priority.
4. Removal of the IUD is not a nursing intervention.

[oliviahorn72]

Excellent

[coreycathey]

Gracias!