When performing a breast examination, the nurse knows that it is especially important to examine the upper, outer quadrant of the breast.
The reason for this is that the upper outer quadrant is:
The largest quadrant of the breast.
The location of most breast tumors.
More prone to injury and calcifications than other locations in the breast.
Where most of the suspensory ligaments attach.
The Correct Answer is B
Choice A rationale
The upper, outer quadrant is indeed a significant portion of the breast tissue, but its size alone does not explain its importance in breast examination. The distribution of glandular tissue throughout all quadrants contributes to breast volume, but density varies.
Choice B rationale
The upper outer quadrant is the most common location for breast tumors because it contains the largest amount of glandular tissue. This anatomical concentration increases the probability of abnormal cell proliferation, leading to a higher incidence of cancerous lesions in this area.
Choice C rationale
While any breast quadrant can experience injury or calcifications, the upper outer quadrant is not inherently more prone. Calcifications often result from benign processes or can be associated with malignancy, but their predisposition isn't quadrant-specific based on injury.
Choice D rationale
Suspensory ligaments (Cooper's ligaments) are fibrous tissues providing breast support and attach throughout the breast tissue to the underlying fascia and overlying skin. Their attachment is not concentrated solely in the upper outer quadrant, but rather distributed across the entire breast.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["2590/2000"]
Explanation
INTAKE:.
Step 1: Jevity (Tube feeding) 50 mL/hr × 12 hours = 600 mL.
Step 2: oz free water tube feeding flush. Convert ounces to milliliters: 6 oz × 30 mL/oz = 180 mL.
Step 3: units of PRBCs (250 mL/each) = 2 × 250 mL = 500 mL.
Step 4: Zosyn IV 50 mL.
Step 5: oz ice chips. Convert ounces to milliliters (ice chips are typically calculated as half their volume in liquid): 4 oz × 30 mL/oz = 120 mL; 120 mL ÷ 2 = 60 mL.
Step 6:.9% NS 100 mL/hr × 12 hours = 1200 mL.
Step 7: Total Intake = 600 mL + 180 mL + 500 mL + 50 mL + 60 mL + 1200 mL = 2590 mL. OUTPUT:.
Step 1: NG Suction: 50 mL.
Step 2: Urine: 1850 mL.
Step 3: Wound vac: 100 mL.
Step 4: Total Output = 50 mL + 1850 mL + 100 mL = 2000 mL. Answer: INTAKE: 2590 mL / OUTPUT: 2000 mL.
Correct Answer is A
Explanation
Choice A rationale
The Sims position, also known as left lateral position with the right knee flexed, is ideal for rectal suppository administration. This position allows for optimal visualization and access to the anus, while gravity aids in the retention of the suppository by minimizing premature expulsion.
Choice B rationale
The dorsal recumbent position, where the patient lies on their back with knees flexed and feet flat on the bed, is not optimal for rectal suppository administration. This position makes rectal access difficult and does not utilize gravity to aid in suppository retention, potentially leading to discomfort.
Choice C rationale
The prone position, where the patient lies on their stomach, is not suitable for rectal suppository administration. This position severely limits access to the rectal area, making insertion difficult and uncomfortable for both the patient and the nurse.
Choice D rationale
The supine position, where the patient lies flat on their back, is not ideal for rectal suppository administration. Similar to dorsal recumbent, this position makes adequate visualization and comfortable access to the anus challenging, potentially increasing patient discomfort and insertion difficulty.
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