A nurse is reinforcing breast self-examination (BSE) teaching with a client who is menopausal. Which of the following statements by the client indicate an understanding of the teaching? (Select all that apply.)
"I will make sure to feel for changes in my underarm area."
"Since I no longer have periods, I can do the exam at any time of the month."
"It is important to press my breasts firmly to detect any lumps."
"I can stand in the shower to perform the examination."
"I will use my fingertips to check my breasts."
Correct Answer : A,B,D,E
A. Feeling for changes in the underarm area is important as breast tissue extends into this region and lumps can form there.
B. Since menopausal women do not have periods, they can perform BSE at any consistent time each month to help remember to do it regularly.
C. Pressing the breasts too firmly could cause discomfort and is not necessary for detecting lumps.
D. Performing BSE in the shower is effective because the soapy water allows the fingers to move smoothly over the skin.
E. Using fingertips is the proper technique for checking breasts, as it allows for more sensitivity in detecting changes in the breast tissue.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Explain disease course and expected signs and symptoms to the family. While education is essential, it is not directly related to addressing the acute pain associated with thrombotic crisis.
B. Check peripheral pulses, color, and temperature of extremities every 30 hours. This intervention is important for assessing peripheral perfusion but may not directly address the acute pain associated with thrombotic crisis.
C. Reposition the client, paying close attention to proper body alignment. Repositioning the client to ensure proper body alignment can help alleviate pressure points and discomfort associated with thrombotic crisis.
D. Provide active range of motion (ROM) every 2 hours. While ROM exercises are important for preventing complications such as joint stiffness, they may not directly address the acute pain associated with thrombotic crisis.
Correct Answer is C
Explanation
A. Herpes simplex virus can cause genital herpes, but it typically does not lead to pelvic inflammatory disease. Pelvic inflammatory disease is more commonly associated with untreated chlamydia or gonorrhea infections.
B. Syphilis during pregnancy can lead to various complications such as stillbirth, neonatal death, or congenital syphilis in the newborn, but low birth weight is not a typical complication.
C. Human papillomavirus (HPV) infection is a known risk factor for the development of cervical cancer. Certain high-risk strains of HPV can lead to precancerous changes in cervical cells,
which, if left untreated, may progress to cervical cancer.
D. Meningitis is not a typical complication of chlamydia in males. In males, untreated chlamydia can lead to complications such as epididymitis or infertility.
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