A nurse is teaching a female young adult client about performing a breast self-examination. Which of the following instructions should the nurse include in the teaching?

"Report a firm ridge below the breasts to the provider."

"Keep your arm relaxed at your side on the side you are examining."

"Use your thumb and forefinger to palpate each breast for lumps."

"Use firm pressure to palpate near the area of the ribs and chest wall."

Answer and Explanation

The Correct Answer is D

A. "Report a firm ridge below the breasts to the provider." A firm ridge along the bottom curve of the breast can be normal. It’s important to distinguish between normal breast tissue and abnormal lumps. Encouraging clients to report any changes or new lumps to the provider is more appropriate.
B. "Keep your arm relaxed at your side on the side you are examining." The correct technique involves raising the arm on the side being examined to help spread out the breast tissue, making it easier to palpate for lumps and abnormalities.
C. "Use your thumb and forefinger to palpate each breast for lumps." The correct technique involves using the pads of the fingers (not the thumb and forefinger) to palpate the breast in a systematic pattern, such as circular motions or vertical strips, to thoroughly check all areas of the breast.
D. "Use firm pressure to palpate near the area of the ribs and chest wall." Using firm pressure is appropriate for palpating deeper tissues closer to the ribs and chest wall, as this helps detect lumps that may not be superficial.

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Correct Answer is A

Explanation

A. Spaghetti with meat sauce, cantaloupe, green beans, and a glass of milk This meal represents a balanced MyPlate meal by including grains (spaghetti), protein (meat sauce), fruits (cantaloupe), vegetables (green beans), and dairy (milk).
B. Chicken with cream sauce, and milk This meal lacks variety and does not include fruits, vegetables, or grains, making it less balanced.
C. Chicken, mashed potatoes This meal lacks fruits and vegetables, and does not include a dairy component.
D. Chicken with cream sauce, asparagus, and a glass of milk This meal lacks a grain component.
E. Chicken, mashed potatoes, coleslaw, brown rice, tomato slices, and a glass of milk While balanced, this meal is more complex and not typical of the simpler MyPlate guideline.
F. Shrimp curry, white rice, and a glass of milk This meal is missing fruits and vegetables.

A. Date of client's admission to the facility B. Summary of a change in the client's condition C. Brief explanation of the client's current condition D. Request for provider to consult physical therapy

Correct Answer is A

Explanation

A. Date of client's admission to the facility The background step includes relevant information such as the admission date, diagnosis, and medical history.
B. Summary of a change in the client's condition This information belongs in the assessment or situation step.
C. Brief explanation of the client's current condition This information belongs in the assessment step.
D. Request for provider to consult physical therapy This information belongs in the recommendation step.

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A nurse is teaching a female young adult client about performing a breast self-examination. Which of the following instructions should the nurse include in the teaching?

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