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. Using a water-based lubricant during sexual activity can help reduce discomfort or vaginal dryness, which may occur after a hysterectomy.
B. After a total abdominal hysterectomy, menstrual periods will cease because the uterus, and often the ovaries, are removed during the procedure.
C. Taking a tub bath instead of a shower is not recommended after a total abdominal
hysterectomy and vaginal repair. Bathing in a tub can increase the risk of infection, especially if the surgical incisions are still healing. The client should avoid submerging the surgical site in water until it has fully healed and cleared by their healthcare provider.
D. Increasing intake of protein and vitamin C can support wound healing and overall recovery after surgery. This statement indicates appropriate understanding of postoperative care.

A. Remove restrictive clothing or objects from the patient B. Administer IV Morphine per MD order C. Administer oxygen per MD order D. Place on NPO E. Start intravenous fluids per MD order F. Keep patient on bed rest

Correct Answer is ["A","B","C","D","E","F"]

Explanation

A. Remove restrictive clothing or objects from the patient: This helps to promote comfort and improve circulation.
B. Administer IV Morphine per MD order: Morphine is a common medication used to manage severe pain associated with sickle cell crisis.
C. Administer oxygen per MD order: Oxygen may be needed to improve oxygen saturation and support respiratory function, especially if the patient is hypoxic.
D. Place on NPO: This is appropriate in case the patient needs any procedures or interventions that require fasting.
E. Start intravenous fluids per MD order: Intravenous fluids help to hydrate the patient and improve blood flow, which can help alleviate symptoms of sickle cell crisis.
F. Keep patient on bed rest: Bed rest is important to conserve energy and minimize the risk of further complications during a sickle cell crisis.

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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

A nurse is reinforcing discharge teaching with a client who had a total abdominal hysterectomy and a vaginal repair. Which of the following statements by the client indicates a need for further teaching?

Correct Answer is C

Explanation

A 16-year-old is admitted with sickle cell crisis. The patient has a pain scale rating of 10 and the following vital signs: HR 115, BP 120/82, RR 18, oxygen saturation 91%, temperature 101.4°F. Select all the appropriate nursing interventions for this patient at this time?

Correct Answer is ["A","B","C","D","E","F"]

Explanation

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