A nurse is preparing to examine the breasts of a client. In what position should the nurse place the client?
lithotomy
sims
supine
prone
The Correct Answer is C
A. Lithotomy: The lithotomy position is primarily used for gynecological exams and procedures, where the client is lying on their back with legs elevated and supported. It is not appropriate for breast examination.
B. Sims: The Sims position, where the client is lying on their side with one knee bent, is typically used for rectal exams and certain types of enemas. It is not suitable for breast examination.
C. Supine: The supine position, where the client lies flat on their back, is the most appropriate for breast examination. This position allows for better palpation and inspection of the breasts and facilitates a thorough examination.
D. Prone: The prone position involves lying face down. This position does not provide access to the breasts and is not used for breast examination.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Document "impaired oxygenation" on the nursing care plan: While this may be appropriate based on assessment findings, it's premature to document without conducting a thorough assessment first.
B. Auscultate the chest for breath sounds: This is a critical component of assessing respiratory function, especially in a client with pneumonia, to identify abnormal breath sounds such as crackles or diminished breath sounds.
C. Collaborate with the client to form goals: Goal setting typically comes after assessment data is collected and analyzed.
D. Apply supplemental oxygen by face mask as needed: This action should be based on assessment findings indicating the need for oxygen therapy, not assumed without assessment.
Correct Answer is C
Explanation
A. Cognitive dysfunction: This is a broad term that includes various types of cognitive impairment.
B. Alzheimer's disease: This is a specific type of dementia, but it doesn’t specifically describe the timing of confusion.
C. Sundowning syndrome: This term describes increased confusion and agitation in the late afternoon and evening. It’s commonly seen in individuals with dementia.
D. Night-time confusion: This is a general term and doesn't specifically relate to the characteristic pattern of sundowning.
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