A nurse is conducting a class on BSE.
Which statement indicates the proper BSE technique?
The best time to perform BSE is in the middle of the menstrual cycle.
If she suspects she is pregnant, then the woman should not perform a BSE until after her baby is born.
A woman should perform BSEs bimonthly unless she has fibrocystic breast tissue.
The best time to perform a BSE is 4-7 days after the first day of the menstrual period.
The Correct Answer is D
Choice A rationale
The middle of the menstrual cycle is when hormonal fluctuations are highest, which can cause breast tenderness and lumpiness, potentially making it more difficult to distinguish normal breast tissue from abnormalities during a BSE.
Choice B rationale
Pregnancy causes significant hormonal changes that lead to breast enlargement and increased nodularity, making BSE more challenging and potentially causing unnecessary anxiety. However, it is still important for pregnant women to be aware of their breasts and report any unusual changes to their healthcare provider.
Choice C rationale
BSE should be performed monthly, not bimonthly, to ensure regular self-examination. While women with fibrocystic breast tissue may have more lumps and bumps, regular monthly BSE is still important for them to become familiar with their normal breast tissue and identify any new or changing lumps.
Choice D rationale
The optimal time to perform a BSE is 4-7 days after the start of the menstrual period. At this point in the cycle, hormone levels are typically at their lowest, and the breasts are less likely to be swollen or tender, making it easier to detect any abnormalities. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Increased hair growth is typically associated with hormonal imbalances, such as an excess of androgens, or certain medications, not generally with undernutrition. Adequate nutrition is essential for maintaining normal hair growth cycles. Nutritional deficiencies often lead to hair thinning or loss, rather than increased growth.
Choice B rationale
A sore, inflamed buccal cavity, also known as stomatitis or mucositis, can be a direct consequence of inadequate nutrition, particularly deficiencies in B vitamins, iron, and vitamin C. These nutrients are crucial for maintaining the health and integrity of the oral mucous membranes. Inflammation and soreness can make eating painful, further contributing to poor nutrient intake.
Choice C rationale
Adequate nutrient or food intake directly contradicts the nursing diagnosis of imbalanced nutrition, less than body requirements. This finding would indicate that the patient's nutritional needs are being met, and the diagnosis would be inaccurate. The presence of dysphagia suggests difficulty in achieving adequate intake.
Choice D rationale
A weight within 10% of ideal body weight suggests that the patient's nutritional status is likely adequate, not less than body requirements. While dysphagia can lead to weight loss, a weight within the normal range indicates that the patient has been able to maintain their weight despite potential swallowing difficulties.
Correct Answer is C
Explanation
Choice A rationale
Regulating nerve cell transmission is primarily a function of electrolytes like sodium, potassium, and calcium, as well as neurotransmitters. While fats are components of nerve cell membranes, they do not directly regulate the transmission of nerve impulses.
Choice B rationale
Converting to sugar (glucose) to provide energy is the primary function of carbohydrates. While fats can be metabolized for energy, they are broken down into fatty acids and glycerol, not directly into glucose. Gluconeogenesis can convert glycerol to glucose, but this is a secondary energy pathway.
Choice C rationale
Fats are crucial for the absorption of fat-soluble vitamins (A, D, E, and K). These vitamins are lipophilic, meaning they dissolve in fats. Dietary fat is necessary in the small intestine to emulsify these vitamins, allowing them to be absorbed across the intestinal lining into the bloodstream.
Choice D rationale
Building and repairing tissue is the primary function of proteins, which are composed of amino acids. While fats are components of cell membranes and contribute to overall cell structure, they do not play the main role in tissue synthesis and repair.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.
