A nurse is reinforcing teaching with a client who is premenopausal.
Which of the following statements by the nurse is appropriate regarding breast self-examinations?

Choice A rationale

Cabbage contains dietary fiber, approximately 1.2 g per 75 g. However, its fiber content is lower compared to other options, limiting its effectiveness in preventing constipation.

Choice B rationale

Strawberry yogurt has negligible fiber content, as yogurt is primarily a dairy product. While it supports gut health through probiotics, it is not a significant fiber source.

Choice C rationale

Brown rice provides moderate fiber, approximately 1.6 g per 105 g. Though beneficial, it is still lower in fiber content than green peas.

Choice D rationale

Green peas are high in dietary fiber, with approximately 4.4 g per 80 g. This fiber content promotes bowel regularity by adding bulk and facilitating gut motility. .

Choice A rationale

Pain patches containing medications like fentanyl are designed for continuous absorption over 72 hours and should not be removed at bedtime. Removing the patch prematurely could lead to a sudden drop in medication levels, compromising pain control. The pharmacokinetics of transdermal patches ensure a steady release of analgesic agents without requiring frequent application.

Choice B rationale

Around-the-clock analgesia provides consistent plasma drug levels, ensuring better pain control compared to as-needed dosing. By preventing peaks and troughs in medication levels, this approach enhances efficacy and improves the client’s quality of life. Studies confirm this approach reduces breakthrough pain in terminal cancer patients.

Choice C rationale

Intramuscular injections are not the preferred route for long-term pain management due to their variable absorption, potential for tissue damage, and patient discomfort. Oral, transdermal, or intravenous routes are safer, more effective options for sustained analgesia.

Choice D rationale

Tolerance, a normal physiological response, does not necessitate dose reduction but rather dose adjustment to maintain therapeutic effects. Reducing the dose can result in inadequate pain relief and increased patient suffering. Evidence supports dose titration based on pain severity and patient needs.