During the breast examination of a client, the nurse notes an orange-peel or "peau d'orange" appearance of the skin of the breast.
The nurse understands that this appearance of the skin is due to what type of breast condition?

Fibrocystic lesions.

A normal finding of the breast.

Carcinoma of the breast.

Fibroadenoma.

Answer and Explanation

The Correct Answer is C

Choice A rationale

Fibrocystic lesions in the breast are benign changes that involve the formation of cysts and fibrous tissue. These do not typically cause an orange-peel appearance of the skin.

Choice B rationale

A normal finding of the breast would not include an orange-peel or "peau d'orange" appearance, as this is considered an abnormal change often associated with underlying pathology.

Choice C rationale

Carcinoma of the breast can lead to an orange-peel appearance of the skin due to lymphatic obstruction. This dimpling effect is caused by the cancerous infiltration and thickening of the skin, making this the correct answer.

Choice D rationale

Fibroadenoma is a benign tumor of the breast and does not usually cause the skin changes described as orange-peel appearance. This condition is generally not associated with skin texture changes.

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Correct Answer is B

Explanation

Choice A rationale

5th ICS Left MCL is the location for the apical impulse (point of maximal impulse), not Erb's Point.

Choice B rationale

Erb's Point is located at the 3rd ICS Left SB and is significant for auscultation of heart sounds, particularly the S1 and S2 sounds.

Choice C rationale

2nd ICS Left SB is the location for auscultating the pulmonic valve area.

Choice D rationale

4th ICS Left SB is where the tricuspid valve is auscultated.

A. Romberg test. B. Weber test. C. Rinne test. D. Cover test.

Correct Answer is A

Explanation

Choice A rationale

The Romberg test evaluates equilibrium by having the client stand with feet together and eyes closed, observing for swaying or imbalance. It assesses the function of the vestibular system, proprioception, and cerebellar function, making it the most appropriate test for assessing dizziness and equilibrium.

Choice B rationale

The Weber test involves placing a tuning fork on the forehead to evaluate sound lateralization. It assesses hearing loss but not equilibrium, making it less suitable for dizziness assessment.

Choice C rationale

The Rinne test compares air and bone conduction of sound using a tuning fork. While useful for diagnosing conductive hearing loss, it does not assess equilibrium, making it inappropriate for evaluating dizziness.

Choice D rationale

The cover test evaluates eye alignment and muscle function by having the client cover one eye and observe the uncovered eye for movement. It assesses ocular motility but not equilibrium, making it unsuitable for dizziness assessment.

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During the breast examination of a client, the nurse notes an orange-peel or "peau d'orange" appearance of the skin of the breast.The nurse understands that this appearance of the skin is due to what type of breast condition?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The instructor asks the student nurse to auscultate the client's Erb's Point. Where is the cardiac landmark referred to as the Erb's Point located?

Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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During the breast examination of a client, the nurse notes an orange-peel or "peau d'orange" appearance of the skin of the breast.
The nurse understands that this appearance of the skin is due to what type of breast condition?