The nurse is conducting a class on Breast Self Examination (BSE). The nurse should include which of these statements that indicates the proper BSE technique.

The best time to perform a BSE is 4 to 7 days after the first day of the menstrual period.

If she suspects that she is pregnant, then the woman should not perform a BSE until her baby is born.

The best time to perform BSE is in the middle of the menstrual cycle.

The woman needs to perform BSE only bimonthly unless she has fibrocystic breast tissue.

Answer and Explanation

The Correct Answer is A

A. The best time to perform a BSE is 4 to 7 days after the first day of the menstrual period:

This statement is correct. Performing BSE a few days after the menstrual period ensures that the breasts are less likely to be swollen or tender, which can make it easier to detect any unusual changes.

B. If she suspects that she is pregnant, then the woman should not perform a BSE until her baby is born:

This statement is incorrect. Pregnant women can still perform breast self-examinations. In fact, it's important for pregnant women to be aware of any changes in their breasts.

C. The best time to perform BSE is in the middle of the menstrual cycle:

This statement is not as accurate as the first choice. While it's true that performing BSE a few days after the menstrual period can be easier due to reduced breast tenderness, it doesn't necessarily mean the middle of the menstrual cycle for every woman. The timing can vary based on an individual's menstrual cycle.

D. The woman needs to perform BSE only bimonthly unless she has fibrocystic breast tissue:

This statement is incorrect. Regular monthly breast self-examinations are recommended for all women, regardless of whether they have fibrocystic breast tissue or not. Detecting changes early is crucial for breast health.

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Correct Answer is B

Explanation

A. Wheezing: Wheezing is a continuous, high-pitched whistling sound usually heard during expiration. It is often associated with narrowed airways, such as in asthma or chronic obstructive pulmonary disease (COPD). Wheezing occurs due to the turbulent airflow through narrowed bronchi or bronchioles and is not typically associated with pleuritis.

B. Friction rub: Pleuritis, or inflammation of the pleura, can cause a friction rub. This sound occurs when the inflamed pleural layers rub against each other during breathing. It's a grating or rubbing sound heard on auscultation and is a hallmark sign of pleuritis.

C. Stridor: Stridor is a high-pitched, harsh sound heard during inspiration and sometimes expiration. It is often a sign of upper airway obstruction, such as in croup or anaphylaxis. Stridor results from turbulent airflow through a partially obstructed or narrowed larynx or trachea.

D. Crackles: Crackles, also known as rales, are brief, discontinuous, popping sounds heard on inspiration. They can be fine or coarse and are often associated with conditions that cause fluid or secretions in the alveoli or small airways, such as pneumonia or heart failure. Crackles are not typically associated with pleuritis.

A. The location of most breast tumors. B. More prone to Injury and calcifications than other locations in the breast C. The largest quadrant of the breast D. Where most of the suspensory ligaments attach

Correct Answer is A

Explanation

A. The location of most breast tumors: This choice is correct. The upper outer quadrant of the breast is the most common site for breast tumors. This area has a higher concentration of glandular tissue, making it more susceptible to the development of tumors. Therefore, thorough examination of this area is crucial during breast examinations.

B. More prone to Injury and calcifications than other locations in the breast: While injuries can occur in any part of the breast, the statement about calcifications is not accurate. Calcifications in breast tissue can occur in various areas and are not specific to the upper outer quadrant.

C. The largest quadrant of the breast: This statement is not accurate. The breast quadrants are not distinguished by size; they are anatomical divisions used for reference during breast examinations. Each quadrant has its significance for examination purposes, but none is considered the largest.

D. Where most of the suspensory ligaments attach: The suspensory ligaments, also known as Cooper's ligaments, provide structural support to the breast tissue. While they are essential for breast anatomy, they are not concentrated in the upper outer quadrant exclusively. These ligaments are distributed throughout the breast tissue.

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The nurse is conducting a class on Breast Self Examination (BSE). The nurse should include which of these statements that indicates the proper BSE technique.

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Naxlex Comprehensive Predictor Exams

A client diagnosed with pleuritis has been admitted to the hospital and complains of pain with breathing. Which of the following assessment findings should the nurse expect when auscultating a client with pleuritis?

Correct Answer is B

Explanation

The nurse is performing a breast examination on a client. The nurse understands that examining the upper outer quadrant of the breast is especially important because this part is:

Correct Answer is A

Explanation

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