Nokea
The client states that she examines her breasts in the shower and while lying down. The nurse recommends that the client should also inspect her breasts from which position?
- A. Bending from the waist
- B. Standing before a mirror
- C. Arching the back
- D. Leaning from side-to-side
Correct Answer: B
Rationale: Standing before a mirror allows the client to visually inspect both breasts for changes in size, shape, or skin texture, which is a key component of breast self-examination (BSE).
You may also like to solve these questions
The nurse correctly informs the client that fibrocystic lesions may become larger and more tender at what time?
- A. The nurse has a normal cycle
- B. After sexual intercourse
- C. Nearer to beginning menopause
- D. Just before menstruation
Correct Answer: D
Rationale: Fibrocystic breast changes are hormone-dependent and typically worsen just before menstruation due to increased estrogen and progesterone levels, causing lesions to enlarge and become tender.
Which instruction is best when teaching the client about inserting vaginal medication?
- A. Place the applicator just inside the vaginal opening.
- B. Insert the applicator while sitting on the toilet.
- C. Instill the medication just before retiring for sleep.
- D. Put on disposable latex gloves before applying the drug.
Correct Answer: C
Rationale: Instilling vaginal medication before sleep allows the medication to remain in the vagina longer, increasing its effectiveness.
If the nurse must handle the radioactive implant, which action provides the best protection for the nurse?
- A. Putting on sterile vinyl gloves
- B. Washing hands before putting on vinyl gloves
- C. Using long-handled forceps to handle the implant
- D. Enclosing the implant in a glass jar
Correct Answer: C
Rationale: Using long-handled forceps minimizes direct exposure to the radioactive implant, reducing the nurse's radiation risk.
If this client is typical of others with this condition, she will most likely report to the nurse that she experiences urinary incontinence during which time?
- A. When sitting
- B. As she walks
- C. During sleep
- D. Upon sneezing
Correct Answer: D
Rationale: A cystocele causes stress incontinence, with urine leakage during activities that increase abdominal pressure, such as sneezing.
The Gravida 7 Para 6 client delivered a 9-pound 4-ounce infant two (2) hours ago. Which intervention is priority for the nurse to implement?
- A. Assess the client’s fundus every hour.
- B. Assess the client’s voiding pattern every shift.
- C. Discuss birth control options with the client.
- D. Discuss breastfeeding methods with the client.
Correct Answer: A
Rationale: Fundal assessment every hour post-delivery prevents postpartum hemorrhage, a life-threatening risk in high-parity clients with large infants. Voiding, birth control, and breastfeeding are secondary.