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.

Answer and Explanation

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. .

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Correct Answer is ["1.52"]

Explanation

Step 1 is: The physician ordered 500 mg and the available concentration is 330 mg/mL. To find the volume to administer, divide the ordered dose by the available concentration: 500 mg ÷ 330 mg/mL.

Step 2 is: 500 ÷ 330 = 1.5151.

Step 3 is: Round to the nearest hundredth as is common for medication administration: 1.52 mL.

Final answer: The nurse will administer 1.52 mL.

A. Explain to the patient where items are located on the plate according to the hours on a clock. B. Encourage eating one food at a time according to the preferences of the patient. C. Order finger foods that are permitted on the patient's diet. D. Feed the patient the prescribed meal.

Correct Answer is A

Explanation

Choice A rationale

Explaining the location of food items on the plate using the clock face analogy (e.g., "your meat is at 12 o'clock, your vegetables are at 3 o'clock") provides a consistent and easily understandable spatial reference for a visually impaired patient. This method allows the patient to independently locate and access different food items, promoting autonomy during meals.

Choice B rationale

Encouraging eating one food at a time based on preference does not directly address the challenge of navigating the plate when blind. While respecting preferences is important, it doesn't provide a systematic way for the patient to know where each food item is located.

Choice C rationale

Ordering finger foods might seem helpful, but it limits the variety and nutritional balance of the patient's diet. Not all foods can be easily eaten with fingers, and this approach does not promote independence in eating a regular meal.

Choice D rationale

Feeding the patient completely removes their independence and can be disempowering. The goal is to assist the patient in maintaining as much autonomy as possible, and explaining food placement allows them to eat independently.

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A nurse is conducting a class on BSE.Which statement indicates the proper BSE technique?

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Naxlex Comprehensive Predictor Exams

The physician orders Ancef 500 mg IV for a urinary tract infection. After reconstitution, the medication is available as 330 mg/mL. How many milliliters will the nurse administer?

Correct Answer is ["1.52"]

Explanation

A patient has been blind for several years because of complications with diabetes mellitus.Which should the nurse do to assist this patient with meals?

Correct Answer is A

Explanation

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A nurse is conducting a class on BSE.
Which statement indicates the proper BSE technique?