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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Cleanse the urethral meatus. This step occurs after preparing the sterile field and donning sterile gloves.
B. Apply sterile gloves. This is correct. The first step in the standardized procedure is to apply sterile gloves to maintain aseptic technique throughout the catheter insertion process.
C. Attach the pre-filled syringe to the inflation bulb. This step is part of the preparation but comes after the sterile gloves are applied.
D. Saturate the cotton balls with antiseptic. This step occurs after donning sterile gloves.
Correct Answer is D
Explanation
To calculate the BMI:
- Convert weight to kilograms: 90 kg (198 lb)
- Convert height to meters: 160 cm = 1.6 m
- Use the BMI formula: BMI = weight (kg) / height (m)^2
BMI = 90 / (1.6)^2 BMI = 90 / 2.56 BMI ≈ 35.2
A. Overweight: Overweight is typically classified with a BMI from 25 to 29.9. This BMI is higher.
B. Extremely obese: The term "extremely obese" is not commonly used. The classification for a BMI above 40 would be "extremely obese."
C. Normal: A normal BMI ranges from 18.5 to 24.9. The calculated BMI is higher than this range.
D. Obese: A BMI of 35.2 falls into the category of obesity (30 to 39.9).
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