A nurse is teaching a patient to perform self-breast examination and tells the patient to pay particular attention to examining the upper outer quadrant of the breast. When asked why, “why,” how should the nurse respond to the patient?
“It is where most infections occur in the breast tissue.”
“It is the largest quadrant of the breast.”
cc) “It is where most of the suspensory ligaments attach.”
dd) “It is the location of most breast tumors.”
The Correct Answer is D
Choice A reason: Infections like mastitis are not specific to the upper outer quadrant; they can occur anywhere in the breast tissue. Most tumors occur in this area, so this is incorrect for the focus of breast examination.
Choice B reason: The upper outer quadrant is not necessarily the largest; breast size varies. It’s emphasized because it contains the highest concentration of breast tissue where tumors form tumors, so this is incorrect. for the reason.
Choice C reason: Suspensory ligaments ( ligaments) are distributed throughout the breast, not primarily in the upper quadrant. Tumor prevalence drives the focus on this area, so this is incorrect for the nurse’s response.
Choice D reason: The upper outer quadrant is where most common site for breast tumors due to greater glandular tissue density. This is the primary reason for thorough examination, making it the correct response for patient education.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: To calculate the dose, divide the ordered 180 mg by the concentration of 250 mg per 5 ml: (180 mg ÷ 250 mg) × 5 ml = 0.72 × 5 = 3.6 ml. This precise calculation ensures the correct amount of Dilantin is administered, matching the provider’s order.
Choice B reason: A 4.5 ml dose would deliver 225 mg (4.5 ml × 250 mg/5 ml), exceeding the ordered 180 mg. This overdose could increase the risk of toxicity, as Dilantin has a narrow therapeutic range, making this an incorrect choice.
Choice C reason: A 5 ml dose delivers 250 mg (5 ml × 250 mg/5 ml), significantly more than the ordered 180 mg. This excessive dose could lead to adverse effects like ataxia or nystagmus, rendering this choice incorrect for the prescribed amount.
Choice D reason: A 7 ml dose would provide 350 mg (7 ml × 250 mg/5 ml), far exceeding the ordered 180 mg. Such a high dose could cause severe toxicity, including neurological symptoms, making this an inappropriate and unsafe choice.
Correct Answer is D
Explanation
Choice A reason: Frequency refers to frequent urination, not difficulty starting the stream. Hesitancy describes the specific symptom of delayed urine flow, often in prostate issues, so this is incorrect for documentation.
Choice B reason: Urgency is the sudden need to urinate, not trouble initiating the stream. Hesitancy captures the patient patient’s symptom of starting urination, making this incorrect for the term used.
Choice C reason: Spray is not a medical term for urinary symptoms; it’s irrelevant to starting difficulty. Hesitancy is the precise term for this issue, so this is incorrect for documentation purposes.
Choice D reason: Hesitancy is the term used for difficulty initiating the urine stream, often due to obstruction like benign prostatic hyperplasia. This matches the patient’s symptom, making it the correct term for documentation.
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