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."

Answer and Explanation

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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Correct Answer is C

Explanation

A. Clotting is not directly related to the destruction of red blood cells.
B. Cyanosis refers to a bluish discoloration of the skin due to poor circulation or inadequate oxygenation, which is not directly indicative of red blood cell destruction.
C. Jaundice is the yellowing of the skin and eyes caused by the buildup of bilirubin, a byproduct of the destruction of red blood cells, which is a common symptom of hemolytic anemia.
D. Bleeding is not a symptom associated with the destruction of red blood cells but rather a lack of clotting factors or platelets.

A. Hemophilia B results from a deficiency in clotting factor VIII B. Males inherit hemophilia from their mothers C. Females inherit hemophilia from their fathers D. Hemophilia is a Y linked disorder

Correct Answer is B

Explanation

A. Hemophilia B results from a deficiency in clotting factor VIII. Hemophilia B results from a deficiency in clotting factor IX. Hemophilia A results from a deficiency in clotting factor VIII.
B. Males inherit hemophilia from their mothers. Hemophilia is an X-linked recessive disorder, meaning males inherit the defective gene from their carrier mothers.
C. Females inherit hemophilia from their fathers. Females can be carriers if they inherit the
defective gene from their mother, but they generally do not inherit the disease itself from their fathers due to the X-linked recessive inheritance pattern.
D. Hemophilia is a Y linked disorder. Hemophilia is not Y-linked; it is an X-linked recessive disorder.

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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.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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