The healthcare provider (HCP) prescribes a diagnostic mammogram for a client who has detected a lump in the breast. Which instructions should the nurse provide the client to prepare for the procedure?

Wear loose fitting clothing without a bra for the procedure.

Avoid using vaginal medications, lubricants, or contraceptives 2 days prior to the test.

Refrain from wearing deodorant and lotions under the arms the day of the exam.

Schedule the mammogram during the menstrual cycle.

Answer and Explanation

The Correct Answer is C

A. Wear loose fitting clothing without a bra for the procedure: While loose-fitting clothing may be comfortable, the focus should be on avoiding substances like deodorant and lotions that could interfere with the mammogram. Wearing a bra is not specifically restricted.

B. Avoid using vaginal medications, lubricants, or contraceptives 2 days prior to the test: This instruction is not relevant to preparing for a mammogram, as these factors are more related to gynecological exams, not breast imaging.

C. Refrain from wearing deodorant and lotions under the arms the day of the exam: Deodorants, powders, or lotions can contain substances that may appear on the mammogram, potentially interfering with the accuracy of the images. Clients should avoid applying them on the day of the procedure.

D. Schedule the mammogram during the menstrual cycle: The timing of the mammogram in relation to the menstrual cycle is not crucial, although some women may find that their breasts are less tender during certain phases of their cycle. The focus should be on the other instructions for preparation.

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Correct Answer is A

Explanation

A. Wear a supportive bra at all times: A supportive bra helps reduce discomfort by providing proper support to engorged breasts. This can help alleviate pressure and make the mother feel more comfortable while breastfeeding.

B. Put a heating pad on the breasts while they are engorged: While heat can sometimes help with milk flow before breastfeeding, it can make engorgement worse by increasing milk production. Cold compresses are typically recommended to reduce swelling and discomfort in engorged breasts.

C. Take two acetaminophen to relieve the discomfort: While acetaminophen can help manage pain, it is not the most effective solution for engorgement. Non-pharmacological methods like using supportive bra or cold compresses are often more effective in addressing the discomfort.

D. Use breast cream to help prevent discomfort: Breast creams are not typically effective for managing engorgement. The primary management for engorgement is addressing the physical discomfort through proper support and milk removal such as breastfeeding or expressing.

A. Pump breastmilk and feed it to infant instead of nursing. B. Start infant on the unaffected side, so there is less pain when infant is the hungriest. C. Finish antibiotics even if symptoms improve. D. Wear an underwire bra around the clock. E. Apply warm compresses to affected area before feeding. F. Wash hands before handling the breast. G. Maintain activity due to the risk of blood clots with extra rest. H. Vary breastfeeding positions at each feeding. I. Pump breasts if feeding will be missed, due to absence from the infant.

Correct Answer is ["B","C","E","F","H","I"]

Explanation

A. Pump breastmilk and feed it to infant instead of nursing: Pumping doesn’t effectively empty the breast like direct nursing, which can worsen milk stasis. Direct breastfeeding helps clear the infection and encourages proper drainage.

B. Start infant on the unaffected side, so there is less pain when infant is the hungriest: Starting on the unaffected breast helps avoid pain when the breast is full and the infant is hungriest. It provides comfort while still allowing effective milk drainage from the affected side.

C. Finish antibiotics even if symptoms improve: Completing the antibiotic course is essential to fully eradicate the infection. Stopping early can lead to a relapse of mastitis or cause antibiotic resistance.

D. Wear an underwire bra around the clock: An underwire bra can restrict milk flow and cause further blockage, worsening mastitis. It's better to wear a non-restrictive, supportive bra for comfort and proper milk drainage.

E. Apply warm compresses to affected area before feeding: Warm compresses help relieve pain and soften the breast tissue, encouraging better milk flow and reducing the inflammation caused by mastitis.

F. Wash hands before handling the breast: Washing hands reduces the risk of introducing bacteria into the breast tissue, preventing further infections and ensuring better hygiene while managing mastitis.

G. Maintain activity due to the risk of blood clots with extra rest: While moderate activity is important, rest is crucial for healing from mastitis. Overexertion can delay recovery; adequate rest supports immune function and recovery from infection.

H. Vary breastfeeding positions at each feeding: Changing positions ensures thorough milk removal from all areas of the breast, reducing the risk of milk stasis and helping to relieve mastitis symptoms.

I. Pump breasts if feeding will be missed, due to absence from the infant: Pumping ensures the breast is emptied if feeding is missed, preventing milk stasis. This is important for reducing the risk of mastitis and maintaining milk flow.

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The healthcare provider (HCP) prescribes a diagnostic mammogram for a client who has detected a lump in the breast. Which instructions should the nurse provide the client to prepare for the procedure?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

Exhibits Which education by the nurse will help resolve the issue for the client? Select all that apply.

Correct Answer is ["B","C","E","F","H","I"]

Explanation

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