A nurse is reinforcing teaching about the frequency of breast self-examination (BSE) with a young adult client. Which of the following statements by the client indicates an understanding of the teaching?
"I will perform BSE the first day of each month."
"The best day to perform BSE is the first day of the menstrual cycle."
"The best day to perform BSE is 7 days after the menstrual cycle begins."
"I will perform BSE every month during ovulation."
The Correct Answer is A
A. Performing breast self-examination (BSE) on the first day of each month provides a consistent schedule for the client to conduct the examination, making it easier to remember and ensuring regularity.
B. The first day of the menstrual cycle may not be the best time to perform BSE for all women, as breast tissue may be more tender or swollen during menstruation.
C. Seven days after the menstrual cycle begins may not be the best time for BSE, as hormonal fluctuations and breast changes may not yet have stabilized.
D. Performing BSE every month during ovulation is not necessary, as ovulation does not directly affect breast tissue changes that need to be monitored.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. "Dietary supplements have not been tested and approved by the government." While this statement may be true, it is not directly related to the potential interaction between dietary supplements and nitroglycerin.
B. "Dietary supplements may be expensive and are not typically covered by insurance." While cost considerations are important, they are not directly related to the potential interaction
between dietary supplements and nitroglycerin.
C. "There is not enough evidence that dietary supplements are effective for erectile dysfunction."
While this statement may be true, it is not directly related to the potential interaction between dietary supplements and nitroglycerin.
D. "Dietary supplements can cause a drug-drug interaction with nitrates." Nitroglycerin is a medication commonly used for angina, and it interacts with erectile dysfunction medications
such as sildenafil (Viagra) due to its vasodilatory effects, potentially causing severe hypotension.
Therefore, it is crucial for the nurse to educate the client about the risk of interactions between dietary supplements and nitroglycerin.
Correct Answer is C
Explanation
A. DIC is not characterized by decreased production of clotting factors. Instead, it involves consumption of clotting factors due to widespread activation of coagulation.
B. While platelet dysfunction may occur in DIC due to consumption and depletion of platelets, the primary pathophysiological process in DIC is the activation of clotting factors and formation of blood clots throughout the vasculature.
C. Excessive activation of clotting factors and widespread clot formation is the primary pathophysiological process in DIC. This leads to the formation of numerous small blood clots throughout the body's blood vessels, resulting in organ dysfunction and potentially life-threatening complications.
D. Excessive platelet production is not a characteristic feature of DIC. Instead, platelets are consumed and depleted as they are incorporated into the blood clots formed during the
coagulation cascade in DIC.
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