A client is having a breast examination and is asked by the nurse to position her arms at her side and then press her hands to her hips. The client asks why she has to perform so many different positions for the examination
The nurse would respond by stating that several positions: 1. Pull ligaments, causing dimpling if a tumor is present.
2. Help test motor strength.
3. Help to determine state of balance.
4. Provide a neurological assessment along with the breast examination.
Pull ligaments, causing dimpling if a tumor is present.
Rationale: Several maneuvers will move the breast and pull the suspensory ligaments in such a way that a tumor would cause dimpling or a bulge. Testing motor strength or state of balance is not done during a breast examination and is not the reason for the client's maneuvering. Neurological assessments are not the reason for maneuvering the extremities during a breast examination.
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