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 B

Explanation

A. Radiation exposure: Radiation exposure can cause aplastic anemia, but if the cause is unknown, it is less likely to be due to a specific and identifiable event like radiation exposure.
B. An autoimmune disorder: When the cause of aplastic anemia cannot be diagnosed, it is often attributed to an autoimmune disorder where the body attacks its own bone marrow cells.
C. Chemotherapy drugs: Chemotherapy drugs can cause aplastic anemia, but this cause would typically be known based on the patient's medical history.
D. Toxins: Toxins can cause aplastic anemia, but like chemotherapy drugs and radiation, this cause would generally be identifiable.

A. Menopause B. Menarche C. The follicular phase D. The luteal phase

Correct Answer is C

Explanation

A. Menopause is the cessation of menstruation and marks the end of the reproductive years.
B. Menarche is the onset of menstruation and does not describe a phase of the menstrual cycle.
C. The follicular phase begins at the end of menses and ends at ovulation. During this phase, follicles in the ovaries mature, and one dominant follicle is selected for ovulation.
D. The luteal phase follows ovulation and ends with the start of menses. During this phase, the ruptured follicle transforms into the corpus luteum, which secretes progesterone to prepare the uterus for potential implantation of a fertilized egg.

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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.)

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Correct Answer is B

Explanation

The part of the female reproductive cycle that begins at the end of menses and ends at ovulation is:

Correct Answer is C

Explanation

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