When performing a clinical breast examination, which would the nurse do first?

Inspect the breasts.

Palpate the axillary area.

Compress the nipple for a discharge.

Palpate the breasts.

Answer and Explanation

The Correct Answer is A

A. Inspect the breasts:

Inspecting the breasts visually is usually the first step in a clinical breast examination. The nurse observes the size, shape, symmetry, and skin characteristics of the breasts, including any visible abnormalities such as dimpling, puckering, or changes in skin texture or color.

B. Palpate the axillary area:

Palpating the axillary (underarm) area is typically done after inspecting the breasts. This allows the nurse to assess for any enlarged lymph nodes or palpable masses in the axillary region, which could indicate pathology or breast cancer metastasis.

C. Compress the nipple for a discharge:

If there are concerns about nipple discharge, this step may follow breast palpation. By gently compressing the nipple, the nurse can assess for any abnormal discharge, such as bloody or spontaneous discharge, which may warrant further investigation.

D. Palpate the breasts:

Palpating the breasts is usually performed after visual inspection and axillary palpation. During breast palpation, the nurse systematically examines each breast using circular motions with varying pressure to detect any lumps, masses, or areas of tenderness. This thorough palpation helps identify any abnormalities within the breast tissue.

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Correct Answer is C

Explanation

A. Burning - This method involves using heat or a cautery device to burn away abnormal tissue. It is typically referred to as electrocautery or thermal ablation. While burning is a method used in some procedures, such as electrocautery for removing warts or lesions, it is not the technique used in cryosurgery.

B. Irradiating - This term refers to the use of radiation therapy to treat cancer or abnormal tissue growth. In irradiation, high-energy radiation beams are directed at the target area to destroy abnormal cells. It is not the method used in cryosurgery.

C. Freezing - Cryosurgery involves freezing the abnormal tissue using extremely cold temperatures, typically with the application of liquid nitrogen or another cryogen. The freezing process causes cellular destruction, leading to the removal of the abnormal tissue. Cryosurgery is commonly used in dermatology, gynecology, and other medical specialties for various conditions.

D. Cutting - Cutting involves physically removing tissue using surgical instruments such as scalpels or scissors. While cutting may be involved in some procedures to remove abnormal tissue, such as excisional biopsies, cryosurgery specifically does not involve cutting. Instead, it relies on freezing to destroy and remove the targeted tissue.

A. Asian Americans as having the highest teen birth rate B. loss of self-esteem as a major impact C. rise in teen birth rates over the years. D. about half occurring within a year of first sexual intercourse E. Peer pressure to become sexually active

Correct Answer is ["C","D","E"]

Explanation

A. Asian Americans as having the highest teen birth rate:

This statement is incorrect. Asian Americans generally have lower teen birth rates compared to other racial/ethnic groups in the United States. Incorporating inaccurate information into the presentation may lead to misunderstanding or misrepresentation of the issue.

B. Loss of self-esteem as a major impact:

While loss of self-esteem can be a consequence of adolescent pregnancy, it may not be considered a major impact in all cases. Adolescent pregnancy can have diverse and complex impacts on individuals, including social, economic, and psychological effects. While addressing the psychosocial aspects of adolescent pregnancy is important, loss of self-esteem may not be the primary focus of the presentation.

C. Rise in teen birth rates over the years:

Providing information about the trend of teen birth rates over time helps to contextualize the issue and highlight its significance. This aspect can include discussing historical trends, recent changes, and factors contributing to fluctuations in teen birth rates.

D. About half occurring within a year of first sexual intercourse:

This statistic underscores the importance of sexual health education and contraception access for adolescents. Understanding the timing of pregnancies in relation to sexual debut can inform interventions aimed at preventing unintended pregnancies among teenagers.

E. Peer pressure to become sexually active:

Peer pressure is a significant influence on adolescent behavior, including decisions related to sexual activity. Addressing peer pressure in the context of adolescent pregnancy allows for discussion about the social and emotional factors that contribute to teen pregnancies and the importance of developing healthy coping strategies and assertiveness skills.

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When performing a clinical breast examination, which would the nurse do first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is scheduled for cryosurgery to remove some abnormal tissue on the cervix. The nurse teaches the client about this treatment, explaining that the tissue will be removed by which method?

Correct Answer is C

Explanation

A nurse has been invited to speak at a local high school about adolescent pregnancy. When developing the presentation, the nurse would incorporate information related to which aspects? (Select All that Apply.)

Correct Answer is ["C","D","E"]

Explanation

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