Which of the following statements concerning breast examination is true?
The examiner uses bimanual palpitation to evaluate the tail of spence.
The axillae are not palpitated if the breast tissue is normal.
Nipple discharge in pregnant women is considered abnormal.
The breasts are inspected as the client changes positions to detect abnormal symmetry.
The Correct Answer is A
A. The examiner uses bimanual palpitation to evaluate the tail of spence.
This statement is true. The tail of Spence is the extension of breast tissue into the axilla, and it is important to evaluate this area during a breast examination. Bimanual palpation, which involves using both hands to examine the breast tissue, is commonly used to assess the tail of Spence.
B. The axillae are not palpated if the breast tissue is normal.
This statement is false. The axillae should be palpated during a breast examination, even if the breast tissue is normal. Lymph nodes in the axilla can sometimes be the first site of metastasis for breast cancer, so it is important to check for any abnormalities in this area.
C. Nipple discharge in pregnant women is considered abnormal.
This statement is false. Nipple discharge is a common occurrence during pregnancy and is usually considered normal, especially in the later stages of pregnancy. However, any sudden or persistent discharge should be evaluated by a healthcare provider.
D. The breasts are inspected as the client changes positions to detect abnormal symmetry.
This statement is false. The breasts should be inspected in a consistent position, such as with the patient sitting or lying down. Changing positions can alter the appearance of the breasts and make it difficult to detect any changes or abnormalities. However, it is important to inspect both breasts and compare them for any signs of asymmetry or abnormalities.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The nurse would describe this as tinnitus, which is a sensation of hearing sound when no external sound is present. Tinnitus is commonly described as ringing in the ears, but can also be perceived as buzzing, humming, hissing, or other sounds. Tinnitus can be caused by a variety of factors, including age-related hearing loss, exposure to loud noises, ear infections, certain medications, and underlying medical conditions such as high blood pressure, thyroid disorders, or head and neck injuries. It is important for the patient to see a healthcare provider to determine the underlying cause and appropriate treatment.
Correct Answer is C
Explanation
Option c, clarity, odor, and amount is the correct answer. These are important parameters to assess when inspecting urine. The clarity of the urine can indicate the presence of particles or bacteria.
The odor of the urine can provide clues about potential infections or other medical conditions. The amount of urine can help to assess hydration status and kidney function.
Option a, consistency, clarity, and articulation is not applicable to urine as urine is a liquid and does not have consistency or articulation.
Option b, consistency, residual, and odor is partially correct. Residual urine can be assessed through other methods such as ultrasound or catheterization, but it is not typically assessed through a visual inspection of the urine.
Option d, clarity, firmness, and amount, is not applicable to urine as urine does not have firmness.
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