A nurse is teaching a female young adult client about performing a breast self-examination. Which of the following instructions should the nurse include in the teaching?

"Report a firm ridge below the breasts to the provider."

"Keep your arm relaxed at your side on the side you are examining."

"Use your thumb and forefinger to palpate each breast for lumps."

"Use firm pressure to palpate near the area of the ribs and chest wall."

Answer and Explanation

The Correct Answer is D

A. "Report a firm ridge below the breasts to the provider." A firm ridge along the bottom curve of the breast can be normal. It’s important to distinguish between normal breast tissue and abnormal lumps. Encouraging clients to report any changes or new lumps to the provider is more appropriate.
B. "Keep your arm relaxed at your side on the side you are examining." The correct technique involves raising the arm on the side being examined to help spread out the breast tissue, making it easier to palpate for lumps and abnormalities.
C. "Use your thumb and forefinger to palpate each breast for lumps." The correct technique involves using the pads of the fingers (not the thumb and forefinger) to palpate the breast in a systematic pattern, such as circular motions or vertical strips, to thoroughly check all areas of the breast.
D. "Use firm pressure to palpate near the area of the ribs and chest wall." Using firm pressure is appropriate for palpating deeper tissues closer to the ribs and chest wall, as this helps detect lumps that may not be superficial.

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Correct Answer is C

Explanation

A. "Ask the charge nurse if she will enter the vital signs for you." This option might be practical but does not address the issue of ensuring proper use of login credentials and adherence to privacy and security protocols.
B. "I'll give you my password to use on another computer, but only for those vital signs." Sharing passwords is a violation of security protocols and is not permissible. Each user must use their own credentials to ensure accountability and security.
C. "I can't let you use the computer on my login, but give me the vital signs and I'll enter them." This response is appropriate. It maintains security by not sharing passwords while still addressing the immediate need of entering the vital signs.
D. "Contact the information technology team and ask them to reset your password." While contacting IT for a password reset is a good practice, it doesn't solve the immediate problem of entering the vital signs. However, it is an important step for addressing long-term access issues.

A. Provide the client with a snack between lunch and dinner. B. Offer the client hot tea at bedtime. C. Ensure the client has a cup of coffee with every meal. D. Offer the client water before and after meals.

Correct Answer is A

Explanation

A. Provide the client with a snack between lunch and dinner. Many Seventh-day Adventists follow a diet that emphasizes healthy eating and may include snacks between meals. It's important to accommodate their dietary habits, which often include vegetarianism and abstaining from caffeine.
B. Offer the client hot tea at bedtime. Many Seventh-day Adventists avoid caffeine, which includes most teas.
C. Ensure the client has a cup of coffee with every meal. Coffee contains caffeine, which is often avoided by Seventh-day Adventists.
D. Offer the client water before and after meals. While offering water is generally good practice, this option does not specifically address the dietary practices of Seventh-day Adventists.

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A nurse is teaching a female young adult client about performing a breast self-examination. Which of the following instructions should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An assistive personnel cannot recall his password and asks a nurse if he can enter vital signs for a client while the nurse is logged into the client's electronic medical record. Which of the following responses should the nurse make?

Correct Answer is C

Explanation

A nurse is planning care for a client who practices Seventh-day Adventism. Which of the following dietary provisions should the nurse include in the plan of care?

Correct Answer is A

Explanation

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