A nurse is reinforcing teaching about the frequency of breast self-examination (BSE) with a young adult client. Which of the following statements by the client indicates an understanding of the teaching?

"I will perform BSE the first day of each month."

"The best day to perform BSE is the first day of the menstrual cycle."

"The best day to perform BSE is 7 days after the menstrual cycle begins."

"I will perform BSE every month during ovulation."

Answer and Explanation

The Correct Answer is A

A.   Performing breast self-examination (BSE) on the first day of each month provides a consistent schedule for the client to conduct the examination, making it easier to remember and ensuring regularity.
B.   The first day of the menstrual cycle may not be the best time to perform BSE for all women, as breast tissue may be more tender or swollen during menstruation.
C.   Seven days after the menstrual cycle begins may not be the best time for BSE, as hormonal fluctuations and breast changes may not yet have stabilized.
D.   Performing BSE every month during ovulation is not necessary, as ovulation does not directly affect breast tissue changes that need to be monitored.

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Correct Answer is A

Explanation

A. Cystocele: A cystocele occurs when the bladder bulges into the vaginal canal, which can cause symptoms such as dyspareunia, backache, pelvic pressure, urinary tract infections, and urinary urgency.
B. Fibroid: Fibroids are benign tumors of the uterus and can cause pelvic pain and pressure, but they are not typically associated with urinary symptoms.
C. Ovarian cyst: Ovarian cysts can cause pelvic pain and pressure but are not usually associated with urinary symptoms like urinary urgency.
D. Rectocele: A rectocele occurs when the rectum bulges into the vaginal canal, which can cause symptoms like dyspareunia and pelvic pressure, but it is more likely to cause constipation than urinary urgency.

A. The client's tongue is white. B. The client is nauseated. C. The client is jaundiced. D. The client is short of breath. E. The client reports feeling pain.

Correct Answer is ["C","E"]

Explanation

A. The client's tongue being white is not typically associated with sickle cell crisis but may indicate other issues such as oral thrush.
B. Nausea can be a symptom associated with many conditions and is not specific to sickle cell crisis.
C. Jaundice is a common manifestation of sickle cell crisis due to hemolysis of red blood cells, leading to an increase in bilirubin levels.
D. Shortness of breath may occur in sickle cell crisis if there is severe anemia or if the crisis is complicated by acute chest syndrome, but it is not a defining characteristic.
E. Pain is a hallmark symptom of sickle cell crisis, occurring due to vaso-occlusion and tissue ischemia resulting from the sickling of red blood cells.

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A nurse is reinforcing teaching about the frequency of breast self-examination (BSE) with a young adult client. Which of the following statements by the client indicates an understanding of the teaching?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

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Correct Answer is ["C","E"]

Explanation

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