A nurse is reinforcing breast self-examination (BSE) teaching with a client who is menopausal. Which of the following statements by the client indicate an understanding of the teaching? (Select all that apply.)
"I will make sure to feel for changes in my underarm area."
"Since I no longer have periods, I can do the exam at any time of the month."
"It is important to press my breasts firmly to detect any lumps."
"I can stand in the shower to perform the examination."
"I will use my fingertips to check my breasts."
Correct Answer : A,B,D,E
A. Feeling for changes in the underarm area is important as breast tissue extends into this region and lumps can form there.
B. Since menopausal women do not have periods, they can perform BSE at any consistent time each month to help remember to do it regularly.
C. Pressing the breasts too firmly could cause discomfort and is not necessary for detecting lumps.
D. Performing BSE in the shower is effective because the soapy water allows the fingers to move smoothly over the skin.
E. Using fingertips is the proper technique for checking breasts, as it allows for more sensitivity in detecting changes in the breast tissue.
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Related Questions
Correct Answer is D
Explanation
A. Remind the client that gonorrhea is a virus, therefore it cannot be cured. Gonorrhea is a bacterial infection caused by Neisseria gonorrhoeae and can be treated with antibiotics.
B. Instruct the client about preventing reinfection by using a diaphragm. While diaphragms can be a method of contraception, they are not effective at preventing sexually transmitted infections like gonorrhea.
C. Check for the presence of a primary lesion or chancre. Primary lesions or chancres are associated with syphilis, not gonorrhea.
D. Obtain information about the client's recent sexual partners. It is important to obtain information about recent sexual partners to notify them and prevent the spread of the infection.
Correct Answer is A
Explanation
A. Raloxifene hydrochloride is a selective estrogen receptor modulator (SERM) that is used for the prevention and treatment of osteoporosis in postmenopausal women. It helps to prevent bone loss and reduce the risk of fractures by acting similarly to estrogen in some tissues and antagonizing estrogen in others.
B. Levothyroxine is a thyroid hormone replacement medication used to treat hypothyroidism, not osteoporosis.
C. Escitalopram oxalate is an antidepressant medication used to treat depression and anxiety disorders, not osteoporosis.
D. Calcitonin is a hormone involved in calcium regulation, and calcitonin nasal spray is sometimes used in the treatment of osteoporosis, but it is not typically the first-line treatment option.
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