A nurse is responding to a 54-year-old patient who does not perform monthly breast self-examination (BSE) because she believes mammograms are better at finding lumps.
What would the nurse include in the response?
"You are correct; mammography is a good replacement for BSEs.”.
"You do not need to perform BSEs as long as a physician checks your breast annually.”.
"While mammograms are effective, BSEs can help you become familiar with your breasts and notice changes between mammograms.”.
"Mammograms are the only reliable way to detect breast cancer, so BSEs are unnecessary.”.
The Correct Answer is C
Choice A rationale
While mammography is a crucial tool for detecting breast cancer, particularly in women over 40, it is not a replacement for breast self-examination (BSE). Mammograms are radiographic images that can detect abnormalities, but BSE helps women become familiar with their own breasts and identify changes that may occur between mammograms.
Choice B rationale
Although annual clinical breast exams by a physician are important, they are not a substitute for monthly BSE. BSE allows women to regularly assess their breasts for any new lumps, changes in size or shape, skin thickening, or nipple discharge. These changes might occur between annual physician visits.
Choice C rationale
Mammograms are indeed effective in detecting breast cancer, often before a lump can be felt. However, BSE plays a vital role in increasing a woman's awareness of her breasts' normal texture and appearance. This familiarity enables her to notice subtle changes that may warrant further medical evaluation, complementing the benefits of mammography.
Choice D rationale
Mammograms are a highly reliable method for detecting breast cancer, especially in early stages. However, BSE is not unnecessary. It empowers women to take an active role in their breast health by promoting early detection of changes that might be indicative of cancer and can occur between scheduled mammograms.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Dried beans, such as lentils, kidney beans, and chickpeas, are excellent sources of plant-based protein. They contain a significant amount of amino acids, which are the building blocks of protein, making them a valuable addition to a vegetarian toddler's diet to support growth and development.
Choice B rationale
Cooked carrots are primarily a source of vitamins, particularly beta-carotene (a precursor to vitamin A), and fiber. They contain minimal amounts of protein and are not the best choice for increasing dietary protein intake in a vegetarian toddler.
Choice C rationale
Sliced bananas are a good source of carbohydrates, potassium, and some vitamins. However, they are low in protein and would not significantly contribute to increasing the dietary protein intake of a vegetarian toddler.
Choice D rationale
Whole wheat bread contains some protein, but it is not as concentrated a source as dried beans. While whole grains are important for fiber and overall nutrition, dried beans offer a higher protein content per serving, making them a better choice for increasing protein intake.
Correct Answer is C
Explanation
Choice A rationale
Trouble chewing foods such as meats and raw vegetables is more indicative of mechanical issues with chewing or dental problems rather than dysphagia, which primarily involves difficulty with swallowing. While chewing difficulties can sometimes coexist with dysphagia, the primary characteristic of dysphagia is impaired bolus transport from the mouth to the stomach.
Choice B rationale
Awakenings with a feeling of indigestion suggest issues related to gastric motility or acid reflux, not necessarily dysphagia. Indigestion involves discomfort in the upper abdomen, often related to the digestion of food in the stomach, whereas dysphagia is focused on the process of swallowing.
Choice C rationale
A feeling of choking after swallowing is a classic symptom of dysphagia. It indicates that food or liquid is not passing smoothly from the pharynx to the esophagus and may be entering the airway. This occurs due to impaired coordination or weakness of the muscles involved in swallowing.
Choice D rationale
Frequent burping, or eructation, is typically related to the release of excess gas from the stomach, often due to swallowed air or the breakdown of food. It is not a primary indicator of dysphagia, which is a disorder of the swallowing mechanism.
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