When performing a female breast examination, the nurse notes the left breast to be larger than the right. What should the nurse tell the patient?

"You will require an urgent mammogram"

"This is quite common to have slight asymmetry in size"

"This signifies a growth in the left breast"

"I will inform the physician right away"

Answer and Explanation

The Correct Answer is B

A. "You will require an urgent mammogram":
Not warranted unless there is a sudden or recent asymmetry, mass, or skin change.

B. "This is quite common to have slight asymmetry in size":
Breast asymmetry is normal and common unless accompanied by new findings or rapid change.

C. "This signifies a growth in the left breast":
This is an assumption-size difference alone does not indicate pathology.

D. "I will inform the physician right away":
Not necessary unless there are abnormal associated signs (e.g., dimpling, mass, discharge).

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Correct Answer is B

Explanation

A. Apologize, because using interpretation can be demeaning for the patient:
Interpretation is a valid therapeutic technique when used respectfully; no apology is needed unless offense occurs.

B. Allow time for the patient to confirm or correct the inference:
This invites the patient to clarify the nurse’s understanding and promotes effective communication.

C. Continue with the interview as though nothing has happened:
Misses the opportunity for clarification and deeper understanding.

D. Immediately restate the nurse's conclusion on the basis of the patient's nonverbal response:
Jumping to conclusions without confirmation may lead to miscommunication.

A. Palpate firmly with two fingers in the inguinal space between the umbilicus and the symphysis pubis B. Palpate each carotid pulse independently, at the medial sternomastoid muscle C. Place the finger tips gently between the bicep and tricep muscle D. Place two fingers of each hand on the right and left side of the neck where bounding pulsation is noted

Correct Answer is B

Explanation

A. Palpate firmly with two fingers in the inguinal space between the umbilicus and the symphysis pubis:
That describes femoral pulse, not carotid.

B. Palpate each carotid pulse independently, at the medial sternomastoid muscle:
This ensures accurate palpation and prevents vagal stimulation or compromising blood flow to the brain.

C. Place the finger tips gently between the bicep and tricep muscle:
That describes assessment of the brachial pulse, not carotid.

D. Place two fingers of each hand on the right and left side of the neck where bounding pulsation is noted:
Never palpate both carotids simultaneously-it can decrease cerebral blood flow and cause syncope.

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When performing a female breast examination, the nurse notes the left breast to be larger than the right. What should the nurse tell the patient?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse has used interpretation regarding a patient's statement or actions. After using this technique, it would be best for the nurse to:

Correct Answer is B

Explanation

How should the nurse assess the carotid pulse?

Correct Answer is B

Explanation

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