The patient has TPN ordered and is to be infused from 2330 to 0730. The total volume of the TPN bag is 1000mL. What rate do you set the pump? Whole number.

A. Palpate the breasts: Palpation is performed after inspection to assess for lumps, tenderness, or abnormalities. Starting with palpation may miss subtle visual changes and could cause discomfort before completing the visual assessment.

B. Palpate the axillary area: The axillary area is palpated after breast palpation to check for lymph node enlargement or tenderness. This step helps identify possible spread of infection or malignancy but is not the first part of the exam.

C. Compress the nipple for a discharge: Nipple compression is performed later in the examination to check for abnormal discharge. Doing it first could obscure or alter inspection findings by stimulating tissue changes.

D. Inspect the breasts: Inspection is always the first step. The nurse observes breast size, symmetry, contour, skin texture, color, and the condition of the nipples. This provides baseline information and guides where to focus palpation during the physical exam.

A. Electrocauterization: This procedure uses electric current to destroy tissue and is not a standard treatment for fibroids. It may cause uterine scarring, which can impair fertility and is therefore not appropriate for clients wishing to conceive.

B. Myomectomy: Myomectomy is the surgical removal of uterine fibroids while preserving the uterus, making it the preferred option for women who still desire children. It relieves symptoms such as pain and heavy bleeding while maintaining reproductive potential.

C. Dilation and curettage (D&C): A D&C involves scraping the uterine lining to control bleeding or obtain tissue samples. It does not remove fibroids located in the uterine wall and provides only temporary symptom relief without addressing the root cause.

D. Laparoscopy: Laparoscopy is a minimally invasive surgical technique that can be used for various procedures, including a myomectomy. However, by itself, laparoscopy is a diagnostic or operative method—not the specific procedure for removing fibroids while preserving fertility.