A female client asks the nurse when the best time is to perform self-breast examination (SBE). The nurse's best response is:
1. "If you are still menstruating the best time is about 5 days after your period begins each month.".
2. "If you are postmenopausal the best time is at the beginning of each month.".
3. "It doesn't really matter as long as you keep a record of when you perform the exam.".
4. "Your primary care provider can tell you when the best time is for you.".
1
Rationale 1: "If you are still menstruating the best time is about 5 days after your period begins each month," is the best response since there is less hormonal influences on the breast tissue at this time, and it provides a consistent timetable for SBE.
Rationale 2: "If you are postmenopausal the best time is at the beginning of each month," is an inaccurate statement. There is no benefit to performing SBE at the beginning of each month, as long as the client performs SBE at the same time each month.
Rationale 3: "It doesn't really matter as long as you keep a record of when you perform the exam," is an inaccurate statement. The client should perform SBE at the same time each month for consistency.
Rationale 4: "Your primary care provider can tell you when the best time is for you" is an inaccurate statement since it is not necessary for the primary care provider to set a schedule for the client to perform SBE.
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