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?
Use the palm of your hand to detect the presence of any large masses under the skin.
Perform small, circular motions, working vertically up and down across the breast.
Perform breast self-examinations during the middle of your cycle.
Perform breast self-examinations while lying on your side.
The Correct Answer is B
Choice A rationale
Using the palm of the hand is not an effective method for detecting masses. The fingertips provide better sensitivity due to their high density of sensory nerve endings, allowing for more precise identification of abnormalities such as lumps or masses.
Choice B rationale
Small circular motions allow for thorough examination of breast tissue, covering all areas including superficial and deep tissue layers. This systematic vertical pattern ensures no area is overlooked, improving detection rates for abnormalities.
Choice C rationale
Performing self-examinations during the middle of the cycle is inappropriate as hormonal fluctuations cause breast tenderness and swelling, leading to potential misinterpretation. Post-menstrual timing minimizes these effects, ensuring more accurate detection.
Choice D rationale
Lying on the side does not provide adequate support for the breast tissue, potentially limiting detection of abnormalities. Lying flat with one arm raised helps to evenly distribute and expose breast tissue for more effective palpation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Cottage cheese is a complete protein, containing all nine essential amino acids. These are vital for tissue repair, enzyme synthesis, and immune function. It is also highly digestible, making it ideal for individuals with compromised health.
Choice B rationale
Oatmeal lacks all essential amino acids, particularly lysine. Although it is a healthy carbohydrate source and rich in soluble fiber, it does not qualify as a complete protein for this context.
Choice C rationale
Cooked spinach, while high in vitamins and iron, is deficient in essential amino acids like methionine. It supports general health but does not fulfill the criteria for complete proteins.
Choice D rationale
Whole wheat bread provides incomplete protein, missing essential amino acids like lysine. While nutritionally beneficial as a complex carbohydrate, it is not suitable for teaching about complete proteins.
Correct Answer is C,A,B,D
Explanation
Choice Crationale
Hand hygiene prevents introducing pathogens during the procedure, reducing the risk of infection at the venipuncture site.
Choice Arationale
Removing the dressing and tape exposes the IV site for catheter removal. Proper technique minimizes tissue trauma and discomfort.
Choice Brationale
Withdrawing the catheter removes the IV device. It is performed gently to avoid complications like vein damage or retained fragments.
Choice D rationale
Applying pressure with sterile gauze prevents bleeding by promoting hemostasis at the venipuncture site.
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