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NR 509 Final Exam Question And Answers 2024
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NR 509 Final Exam Question AndAnswers 2024
Suspicious breast mass - correct answers✅-A mobile
mass that becomes fixed when the arm relaxes is
attached to the ribs and intercostal muscles; if fixed when
the hand is pressed against the hip, it is attached to the
pectoral fascia.
-Hard irregular poorly circumscribed nodules, fixed to the
skin or underlying tissues, strongly suggest cancer
Risk for Breast cancer - correct answers✅--*Age*
-family history of breast/ovarian CA
- inherited genetic mutations,
-personal history of breast cancer
- high levels of endogenous hormones
- breast tissue density
- proliferative lesions with atypia on breast biopsy, -
duration of unopposed estrogen exposure related to early
menarche
-age of first full-term pregnancy
- late menopause.
- breastfeeding for less than 1 year,
- postmenopausal obesity
-cigarette smoking, alcohol ingestion,
- physical inactivity, and type of contraception.
,NR 509 Final Exam Question And
Answers 2024
Characteristics of a breast cyst - correct answers✅Soft
to firm, round, mobile, often tender.
The best way to examine the lateral portion of the breast
- correct answers✅-Have pt roll onto the opposite hip
-place her hand on her forehead.
- keep shoulders pressed against the bed
-palpate in the axilla, moving in a straight line down to
the bra line, then move the fingers medially and palpate
in a vertical strip up the chest to the clavicle. Continue in
vertical overlapping strips until you reach the nipple
Bacterial Vaginosis (BV) - correct answers✅-Caused by
overgrowth of anaerobic bacteria (often from sex)
- Discharge: Gray or white, thin, homogenous,
malodorous, coats the vaginal walls, usually not profuse,
may be minimal
- Fishy/musty genital odor
-Normal vulva and vaginal mucosa
-Scan saline wet mount for clue cells (epithelial cells with
stippled borders); sniff for fishy odor after applying KOH
("whiff test"); test the vaginal secretions for pH > 4.5
, NR 509 Final Exam Question And
Answers 2024
Candidal Vaginitis - correct answers✅-Cause: Candida
albicans, a yeast (normal overgrowth of vaginal flora);
many factors predispose, including antibiotic therapy
-Discharge: white and curdy, may be thin but usually
thick, not as profuse as trichomonal infection, not
malodorous
- vaginal soreness, pruritus, pain on urination,
dyspareunia (painful intercourse)
-The vulva and surrounding skin are inflamed and
sometimes swollen to a variable extent; the vaginal
mucosa is reddened, with white tenacious patches of
discharge; the mucosa may bleed when these patches
are scraped off; in mild cases, the mucosa looks normal
-Scan potassium hydroxide (KOH) preparation for the
branching hyphae of Candida
Trichomonal Vaginitis - correct answers✅-Trichomonas
vaginalis, a protozoan; often but not always acquired
sexually
- Discharge:Yellowish green or gray, possibly frothy; often
profuse and pooled in the vaginal fornix; may be
malodorous
-Pruritus (though not usually as severe as with Candida
infection); pain on urination (from skin inflammation or
possibly urethritis); dyspareunia
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