The nurse instructs a female client on breast self-examination. Why does the nurse recommend the pattern shown for the client to use?

It is easiest for the client to learn

It takes the least amount of time

It causes the least amount of pain

It is the best technique to detect masses

Answer and Explanation

The Correct Answer is D

A. It is easiest for the client to learn: While the ease of learning is important, the primary goal is effective detection of masses.

B. It takes the least amount of time: The time taken is less critical than the effectiveness of the technique in detecting abnormalities.

C. It causes the least amount of pain: Minimizing pain is not the main reason for choosing a particular technique; effectiveness in detecting masses is more critical.

D. It is the best technique to detect masses: The recommended pattern, often the vertical strip or circular pattern, is chosen because it is the most effective way to systematically cover the breast tissue and increase the likelihood of detecting abnormalities or masses.

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Correct Answer is C

Explanation

A. Wheezes: Wheezes are high-pitched sounds usually associated with airway constriction, such as in asthma, not specifically lobar pneumonia.

B. Rhonchi: Rhonchi are low-pitched, snoring sounds associated with secretions in the airways and may be present in pneumonia but are not the most characteristic finding.

C. Coarse crackles (rales): Coarse crackles or rales are bubbling, crackling sounds heard when air moves through fluid in the airways, which is typical in pneumonia due to the presence of alveolar fluid.

D. No sound: Absence of sound is not expected in pneumonia; adventitious sounds like crackles are usually present.

A. Blood pressure pattern B. Dyspnea C. Vision Acuity D. Peripheral Edema E. Constipation

Correct Answer is ["A","B","D"]

Explanation

Rationale:
A. Blood pressure pattern: Monitoring blood pressure patterns is essential for evaluating cardiovascular health as it provides information on hypertension or hypotension, which are significant for heart function.

B. Dyspnea: Dyspnea (difficulty breathing) can indicate cardiovascular issues such as heart failure, making it a relevant aspect of cardiovascular assessment.

C. Vision Acuity: While vision acuity is important for overall health, it is not directly related to cardiovascular assessment and does not provide specific information about heart or vascular health.

D. Peripheral Edema: Peripheral edema (swelling in the extremities) can be a sign of cardiovascular problems like heart failure or venous insufficiency, thus important for cardiovascular assessment.

E. Constipation: Although constipation affects general health, it does not directly relate to cardiovascular assessment and is not typically included in this context.

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The nurse instructs a female client on breast self-examination. Why does the nurse recommend the pattern shown for the client to use?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A senior patient is being admitted due to lobar pneumonia to the med-surgical floor. When auscultating, the nurse would expect to listen to which of the following adventitious breath sounds?

Correct Answer is C

Explanation

The nurse is assessing a client's cardiovascular status within the comprehensive health history. What should the nurse include in this section of the assessment? (Select all that apply.)

Correct Answer is ["A","B","D"]

Explanation

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The nurse performs that technique shown when assessing the client. What cranial nerve is the nurse assessing?

The nurse instructs a female client on breast self-examination. Why does the nurse recommend the pattern shown for the client to use?

While inspecting the external eye of a client, the nurse notes that the client's right eyelid droops. Which term would the nurse use to document this finding?

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