Which steps should the nurse provide clients who choose to perform bre

Female Reproductive Disorders NCLEX Questions Quizlet

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Question 1 of 5.

Which steps should the nurse provide clients who choose to perform breast self-examination (BSE) according to the American Cancer Society (ACS) guidelines? Rank in order of performance.

A. Lie flat on the bed with a rolled towel placed under the scapula; perform palpation of each breast.
B. Pinch each nipple to see if fluid can be expressed.
C. With the breasts exposed, stand in front of a mirror and examine the breasts from front and each side.
D. In the shower, soap the breasts, and perform palpation in a systematic manner on each breast.
E. Find a private place where the self-examination can be performed.

Correct arrangement

E. Find a private place where the self-examination can be performed.
C. With the breasts exposed, stand in front of a mirror and examine the breasts from front and each side.
A. Lie flat on the bed with a rolled towel placed under the scapula; perform palpation of each breast.
D. In the shower, soap the breasts, and perform palpation in a systematic manner on each breast.
B. Pinch each nipple to see if fluid can be expressed.

Explanation: ACS BSE steps: 1) Find a private place; 2) Visually inspect in mirror (front/sides); 3) Palpate lying down with towel; 4) Palpate in shower; 5) Check nipples for discharge.

Question 2 of 5.

Which breast palpation technique is most correct?

A. Examine the breast while using the heel of the hand.

B. Examine the breast while using the index finger only.

C. Examine the breast while using the index finger and thumb.

D. Examine the breast while using the pads of the fingertips.

Explanation: Using the pads of the fingertips allows for better sensitivity to detect lumps or changes in breast tissue during palpation, making it the most effective technique for BSE.

Question 3 of 5.

Although it has not been conclusively proven, the nurse explains that some women with fibrocystic disease get relief from their symptoms by eliminating which substance from their diet?

A. The blood

B. Caffeine

C. Saturated fat

D. Refined sugar

Explanation: Caffeine is thought to exacerbate fibrocystic breast symptoms in some women by stimulating breast tissue, and reducing intake may provide symptom relief, though evidence is not definitive.

Question 4 of 5.

Which question is most important for the nurse to ask next?

A. Have you ever had any menstrual periods?

B. Do you have any pubic hair growth?

C. Have you ever been sexually attracted to males?

D. Are there any siblings with a similar problem?

Explanation: Determining if the client has ever menstruated is critical to differentiate between primary amenorrhea (never menstruated) and secondary amenorrhea (cessation of periods), guiding further assessment.

Question 5 of 5.

Before the physician performs the vaginal examination, which nursing intervention is most important?

A. Arrange to have a female nurse present during the examination.

B. Instruct the client on the dangers of cervical cancer.

C. Palpate the internal organs to obtain a baseline assessment.

D. Encourage the client to instill a vaginal lubricant.

Explanation: Having a female nurse present ensures the client's comfort and adheres to ethical standards, providing a chaperone during the examination.