A nurse is reinforcing teaching with a client about breast self-examinations.Which of the following statements by the client indicates an understanding of the teaching?
"I will perform breast exams the day my period begins.”.
"I will perform breast exams every other month.”.
"It is common for the skin on my breasts to dimple.”.
"It is common for one breast to be larger than the other.”.
The Correct Answer is D
Choice A rationale
Performing breast exams on the first day of the menstrual cycle is not recommended because hormonal fluctuations can affect breast tissue.
Choice B rationale
Breast self-examinations should be performed monthly, not every other month, to detect any changes in breast tissue.
Choice C rationale
Skin dimpling on the breast can be a sign of breast cancer and should not be considered common. It requires medical evaluation.
Choice D rationale
It is normal for one breast to be slightly larger than the other, and this variation is common among women.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Canned tuna contains iron, but it is generally lower in iron content compared to other meat options. It is a good source of protein and omega-3 fatty acids, but not the highest in iron.
Choice B rationale
Pork roast is a good source of iron, particularly heme iron, which is more easily absorbed by the body compared to non-heme iron from plant sources. However, it is not the highest among the given options.
Choice C rationale
Chicken breast provides a moderate amount of iron but not as much as red meat. It is a lean protein source with other essential nutrients but not the highest in iron content.
Choice D rationale
Ground beef is rich in heme iron, which is highly bioavailable. Red meat, including ground beef, is one of the best dietary sources of iron, making it the highest iron content option among the given choices.
Correct Answer is A
Explanation
Choice A rationale
Installing grab bars in the shower assists with balance and prevents falls. Grab bars provide stability and support, which is crucial for clients who have had a CVA and may have impaired balance and coordination.
Choice B rationale
Placing a towel in the shower to prevent slipping is not recommended as it can shift and cause more risk. Anti-slip mats or adhesive strips are better options for preventing slips.
Choice C rationale
Hiring a home care aide to perform all ADLs may promote dependency and reduce the client's independence. Encouraging the use of assistive devices and adaptive techniques helps the client regain as much independence as possible.
Choice D rationale
The statement "You will not become fatigued when you use assistive devices" is incorrect. Clients may still experience fatigue, even with assistive devices. It's important to balance activity and rest to prevent overexertion.
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