After teaching a woman how to perform breast self-examination, which statement would indicate that the nurse’s instructions were successful?

I should lie down with my arms at my side when looking at my breasts

I should use the finger pads of my three middle fingers to apply pressure to my breast

I don’t need to check under my arm on that side if my breast feels fine

I need to work from left to right down my breast towards my ribs

Answer and Explanation

The Correct Answer is B

Choice A rationale
While lying down can be part of the breast self-examination process, the arms should not be at the side. Instead, they should be raised above the head to spread the breast tissue evenly over the chest.
Choice B rationale
The finger pads of the three middle fingers are used to apply pressure to the breast during a self-exam. This allows for a thorough examination of the breast tissue for any lumps or abnormalities. This is the correct method for performing a breast self-examination.
Choice C rationale
Even if the breast feels fine, it is important to check under the arm. The lymph nodes located in this area can swell due to breast cancer.
Choice D rationale
While examining the breast, it is not necessary to work from left to right towards the ribs. The important thing is to cover the entire breast area, including the armpit.

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Correct Answer is C

Explanation

Choice A rationale
Wearing gloves while gardening is a recommended practice after a mastectomy, especially on the side where lymph nodes have been removed. This is to protect the skin and reduce the risk of infection, which could trigger lymphedema.
Choice B rationale
It is indeed recommended that blood pressures be taken in the unaffected arm after a mastectomy. This is because the pressure from the cuff can obstruct lymph flow and potentially trigger lymphedema in the arm where lymph nodes have been removed. Choice C rationale
Wearing clothing with elastic sleeves is not recommended after a mastectomy. Elastic bands can restrict lymph flow and increase the risk of lymphedema.
Choice D rationale
Similar to blood pressure measurements, it is recommended that blood specimens be drawn from the unaffected arm after a mastectomy. This is to avoid injury to the lymphatic system in the arm where lymph nodes have been removed, which could trigger lymphedema.

A. Prepare for a vaginal delivery:. B. Administer antiviral medication. C. Prepare for a cesarean delivery. D. Discharge the patient:

Correct Answer is C

Explanation

Choice A (Prepare for a vaginal delivery) is incorrect. Vaginal delivery is generally not recommended for women with active genital herpes lesions present during labor due to the high risk of transmitting the virus to the newborn. This risk is especially high when the mother experiences a primary infection (first outbreak) during the third trimester or has visible lesions at the time of delivery.
Choice B (Administer antiviral medication) is partially correct. While antiviral medications can be helpful in managing and potentially shortening outbreaks, they alone are not enough to prevent transmission during delivery. Antiviral medication can be used in combination with cesarean delivery to further reduce the risk of transmission.
Choice C (Prepare for a cesarean delivery) is correct. A cesarean delivery is the preferred method of delivery for women with active genital herpes lesions present during labor because it significantly reduces the risk of the virus being transmitted to the newborn. This risk can be as high as 50% during vaginal delivery with active lesions, while the risk with cesarean delivery is significantly lower, typically around 1% or less.
Choice D (Discharge the patient) is incorrect. Discharging a patient in active labor with active genital herpes lesions is not a safe or appropriate course of action. The patient needs to be carefully monitored and managed in a healthcare setting to minimize the risk of transmission to the newborn and ensure the safety of both mother and baby.

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After teaching a woman how to perform breast self-examination, which statement would indicate that the nurse’s instructions were successful?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is developing the discharge plan for a woman who has had a left-sided radical mastectomy. The nurse is including instructions for ways to minimize lymphedema. Which statement by the client indicates the need for additional instruction?

Correct Answer is C

Explanation

The labor nurse is admitting a patient in active labor who has a history of genital herpes. The patient reports a recent outbreak, and the nurse verifies lesions on the perineum. What action should the nurse take in anticipating the plan of care for this patient?

Correct Answer is C

Explanation

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