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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Vesicular: Vesicular breath sounds are normal and are heard over most of the lung fields. They are soft and low-pitched.
B. Tracheal: Tracheal breath sounds are harsh and high-pitched, typically heard over the trachea rather than over most of the lung fields.
C. Bronchial: Bronchial breath sounds are loud and high-pitched, usually heard over the trachea and larynx, not over most lung areas.
D. Bronchovesicular: These sounds are heard between the sternum and the interscapular area but are not as commonly heard over most of the lung fields compared to vesicular sounds.
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.
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