What symptom would a nurse anticipate in a patient with endometriosis?

Choice A rationale
Informing the obstetrician is important, but it is not the first action to take. The nurse should first try to address the issue at hand, which is a displaced and boggy uterus.
Choice B rationale
Straight catheterization of the patient could be necessary if the patient is unable to void. However, the first step should be to ask the patient to void.
Choice C rationale
Preparing the patient for manual removal of uterine clots is a more invasive procedure that should be considered if other measures, such as asking the patient to void or massaging the fundus, are not effective.
Choice D rationale
A full bladder can displace the uterus and prevent it from contracting properly. Asking the patient to void can help the uterus contract and reduce bleeding.

Choice A rationale
Lying down with arms at the side is not the recommended position for a breast self-exam. The recommended positions are either standing or lying down with the arm raised.
Choice B rationale
Using the finger pads of the three middle fingers to apply pressure to the breast is a correct technique for a breast self-exam. This method allows for thorough examination of the breast tissue.
Choice C rationale
It is not correct to avoid checking under the arm if the breast feels fine. The breast tissue extends into the underarm area, so it is important to check this area as well during a breast self-exam.
Choice D rationale
Working from left to right down the breast towards the ribs is not a standard instruction for a breast self-exam. The recommended method is to use a circular, up-and-down, or wedge pattern.