Nokea
If the client chooses to perform breast self-examination (BSE), which statement demonstrates the best understanding of when BSE should be performed?
- A. I will perform a BSE on a weekly basis.
- B. I will perform a BSE every 6 months.
- C. I will perform a BSE 1 week before my period begins.
- D. I will perform a BSE 3 to 7 days after my period ends.
Correct Answer: D
Rationale: BSE is best performed 3 to 7 days after the menstrual period ends when breasts are least likely to be tender or swollen, ensuring a more accurate examination.
You may also like to solve these questions
Which nursing actions are appropriate in this situation? Select all that apply.
- A. Notify housekeeping to come and dispose of the papers.
- B. Toss the papers in the trash.
- C. Put the papers into the shredder bin.
- D. Try to determine who left the papers unattended.
- E. State the papers neatly, placing them off to the side.
- F. Notify the office manager of the breach in confidentiality.
Correct Answer: C,F
Rationale: Unattended medical records are a breach of confidentiality under HIPAA. Shredding the papers ensures secure disposal, and notifying the office manager addresses the violation. Tossing in the trash or stacking neatly does not protect confidentiality, and housekeeping or identifying the culprit are not immediate priorities.
The HCP orders cultures of the urethral urine, bladder urine, and prostatic fluid. Which instructions should the nurse teach to achieve the first two (2) specimens?
- A. Collect the first 15 mL in one jar and then the next 50 mL in another.
- B. Collect three (3) early-morning, clean voided urine specimens.
- C. Collect the specimens after the HCP massages the prostate.
- D. Collect a routine urine specimen for analysis.
Correct Answer: A
Rationale: Urethral (first 15 mL) and bladder (midstream 50 mL) urine are collected sequentially to differentiate infection sites. Early-morning specimens, post-prostate massage, or routine urine are incorrect.
The client diagnosed with cancer of the testes calls and tells the nurse he is having low back pain that does not go away with acetaminophen, a nonnarcotic analgesic. Which action should the nurse implement?
- A. Ask the client to come in to see the HCP for an examination.
- B. Tell the client to use a nonsteroidal anti-inflammatory drug instead.
- C. Inform the client this means the cancer has metastasized.
- D. Encourage the client to perform lower back-strengthening exercises.
Correct Answer: A
Rationale: Low back pain in testicular cancer may indicate metastasis (e.g., to retroperitoneal nodes); HCP evaluation is urgent. NSAIDs, assuming metastasis, or exercises are inappropriate without assessment.
The young female client is admitted with pelvic inflammatory disease secondary to a chlamydia infection. Which discharge instruction should be taught to the client?
- A. The client will develop antibodies to protect against a future infection.
- B. This infection will not have any long-term effects for the client.
- C. Both the client and the sexual partner must be treated simultaneously.
- D. Once the infection subsides, the pain will go away and not be a problem.
Correct Answer: C
Rationale: Chlamydia-related PID requires simultaneous treatment of the client and partner to prevent reinfection. Antibodies do not confer immunity, PID can cause infertility, and pain may persist.
The nurse is caring for a client who is eight (8) hours postoperative unilateral orchiectomy for cancer of the testes. Which intervention should the nurse implement?
- A. Provide an athletic supporter before ambulating.
- B. Encourage the client to delay use of pain medications.
- C. Place the client on a clear liquid diet for the first 48 hours.
- D. Monitor the PT/INR levels and have vitamin K ready.
Correct Answer: A
Rationale: An athletic supporter reduces scrotal swelling and discomfort during ambulation post-orchiectomy. Delaying pain medication, clear liquids, and PT/INR monitoring are inappropriate.