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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Related Questions
Correct Answer is C
Explanation
The normal range for respiratory rate in adults is typically between 12 to 20 breaths per minute, butsome individuals may have a slightly higher or lower respiratory rate within the normal range.
Options a and b are incorrect. Bowel sounds of 5-30 per minute are within the normal range, but this finding alone does not indicate that the patient is ready to go home. Capillary refill of greater than 3 seconds is considered abnormal and may indicate poor peripheral perfusion.
Option d is also incorrect. A heart rate of 10 is extremely low and would be considered bradycardia. This could indicate an underlying medical issue and would require further assessment and intervention before the patient is discharged.
Correct Answer is A
Explanation
The role of a registered nurse in a genitalia examination is mainly inspection and palpitation.
During a genitalia examination, the nurse will visually inspect the genital area for any abnormalities, lesions, or signs of infection. This may include examining the external genitalia, such as the vulva or penis, as well as the anus and surrounding area.
The nurse may also palpate, or gently touch, the genital area to check for any tenderness, swelling, or lumps that could indicate a problem. However, auscultation (listening with a stethoscope) and percussion (tapping on the body) are not typically part of a genitalia examination.
It is important to note that a genitalia examination should always be performed in a professional and respectful manner, with clear communication between the nurse and the patient throughout the process.
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