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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Anterior chest: While the anterior chest examination is important, axillary palpation is more specific to the breast area.
B. Breasts: Palpation of the axillae is part of the breast examination to check for lymph nodes or masses.
C. Heart: The heart is assessed through auscultation and palpation of the chest, not the axillae.
D. Neck: The neck examination does not typically involve palpation of the axillae.
Correct Answer is D
Explanation
A. To allow for the client to focus on the illness: Accurate and complete information is crucial for developing a proper care plan but not directly related to the client’s focus on their illness.
B. To allow for the client to spend more time with the nurse: Accurate information helps in forming a plan but does not necessarily impact the amount of time spent with the nurse.
C. To allow the nurse more time to know the client: While knowing the client is important, the primary reason for accurate information is to develop effective interventions.
D. To develop a plan with interventions that promote health: Accurate and complete assessment information is essential for developing a comprehensive care plan and interventions that address the client’s health needs.
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