A nurse is providing teaching to a young adult client who has fibrocystic breast condition. Which of the following instructions should the nurse include in the teaching?
Wear a supportive bra 24 hr a day.
Perform a breast self-exam 1 week before menstruation.
Have a mammogram every 4 years.
Increase caffeine intake.
The Correct Answer is B
Choice A rationale:
While wearing a supportive bra is generally advisable, wearing it 24 hours a day is not necessary and may cause discomfort.
Choice B rationale:
Performing a breast self-exam 1 week after menstruation is recommended for individuals with fibrocystic breast condition. Hormonal changes during the menstrual cycle can affect breast tissue, and examining the breasts when they are less likely to be affected by hormonal fluctuations can provide a more accurate baseline for self-examination.
Choice C rationale:
Mammograms are recommended more frequently than every 4 years, especially for those with fibrocystic breast condition or other risk factors.
Choice D rationale:
Increasing caffeine intake can exacerbate symptoms of fibrocystic breast condition. Caffeine is known to contribute to breast pain and tenderness.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D"]
Explanation
Choice A rationale:
Asking the client to explain what she is hearing may not be helpful, as the client's perception of the hallucinations may not match reality.
Choice B rationale:
Conveying empathy is important to establish a therapeutic relationship and provide emotional support.
Choice C rationale:
Encouraging the client to listen to music through headphones can help distract from auditory hallucinations.
Choice D rationale:
Speaking simply and clearly when communicating helps the client understand and process information more effectively.
Choice E rationale:
Using therapeutic touch might not be appropriate for all clients and should be based on the client's preferences and comfort level.
Correct Answer is ["0816"]
Explanation
To calculate the estimated date of delivery using Nägele's rule, follow these steps:
-Add 7 days to the first day of the last menstrual period. In this case, November 9 + 7 days = November 16.
- Subtract 3 months from the month of the last menstrual period. In this case, November - 3 months = August.
The estimated date of delivery is August 16
The rationale for this rule assumes that the average menstrual cycle is 28 days long and that ovulation occurs on day 14 of the cycle. Therefore, adding 7 days to the first day of the last menstrual period approximates the date of conception. Subtracting 3 months from the month of the last menstrual period adjusts for the difference between the lunar calendar (13 months) and the Gregorian calendar (12 months).
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