When inspecting the breast, in which positions should the patient be placed?
a. arms at sides, arms overhead, hands pressed on hips, leaning forward
b. arms at side, arms overhead, leaning forward, hands on knees
c. arms at side, arms overhead, hands pressed on hips, leaning backward
d. arms at sides, arms overhead, hands pressed on shoulders, leaning forward
A
For inspection of the breasts, the nurse positions the patient uncovered to the waist. The patient should let her arms relax by her sides. The nurse makes the appropriate observations, then repeats the inspection with the patient's arms raised over her head. This will accentuate any retraction (tissue drawn back) if present. Repeat the inspection with the patient pressing her hands into her hips, which will contract the pectoral muscles and accentuate any retractions if present. Finally, have the patient lean forward to allow the breasts to hang freely away from the chest wall and repeat the inspection.
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