The nurse instructs a female client on breast self-examination. Why does the nurse recommend the pattern shown for the client to use?

It is easiest for the client to learn

It takes the least amount of time

It causes the least amount of pain

It is the best technique to detect masses

Answer and Explanation

The Correct Answer is D

A. It is easiest for the client to learn: While the ease of learning is important, the primary goal is effective detection of masses.

B. It takes the least amount of time: The time taken is less critical than the effectiveness of the technique in detecting abnormalities.

C. It causes the least amount of pain: Minimizing pain is not the main reason for choosing a particular technique; effectiveness in detecting masses is more critical.

D. It is the best technique to detect masses: The recommended pattern, often the vertical strip or circular pattern, is chosen because it is the most effective way to systematically cover the breast tissue and increase the likelihood of detecting abnormalities or masses.

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Correct Answer is A

Explanation

A. Reduce all environmental noise: Minimizing environmental noise ensures that bowel sounds can be clearly heard during auscultation.

B. Percuss the region before auscultating: Percussion is not necessary before auscultation for detecting bowel sounds; auscultation should be done first.

C. Palpate the region before auscultating: Palpation can alter bowel sounds or cause false findings, so it is best to auscultate first.

D. Assist the client to a sitting position: The client’s position is less critical than reducing background noise; the client can be in various positions as long as the area is accessible.

A. Mental B. Physical C. Spiritual D. Interpersonal

Correct Answer is A

Explanation

A. Mental: The client's disorientation and altered perception suggest a need for a mental health assessment to evaluate cognitive function, potential delirium, or other psychiatric conditions.

B. Physical: While the client's shaking is noted, the primary concern in this scenario is the client's altered mental state, rather than physical health alone.

C. Spiritual: The client's behavior does not directly indicate a need for a spiritual assessment.

D. Interpersonal: Although the client’s behavior may impact interpersonal interactions, the immediate need is to assess the mental status due to the confusion and altered perception.

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The nurse instructs a female client on breast self-examination. Why does the nurse recommend the pattern shown for the client to use?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is conducting a physical examination of the abdomen. What is the nurse's best action to ensure she can hear bowel sounds?

Correct Answer is A

Explanation

Correct Answer is A

Explanation

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The nurse instructs a female client on breast self-examination. Why does the nurse recommend the pattern shown for the client to use?

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