A patient is having a breast examination and is asked by the nurse to position her arms at her sides, then to press her hands to her hips. The patient asks why she has to perform so many different positions for the examination
What rationale would the nurse provide for this request? 1. Several positions pull ligaments, causing dimpling if a tumor is present.
2. Having the patient move facilitates a neurological assessment along with the breast examination.
3. These movements help to determine the patient's state of balance.
4. These movements help test motor strength.
1
Rationale 1: Several maneuvers move the breast and pull the suspensory ligaments in such a way that a tumor would cause dimpling or a bulge.
Rationale 2: Neurological assessment is not the rationale for maneuvering the extremities during a breast examination.
Rationale 3: Testing the state of balance is not the rationale for these movements.
Rationale 4: Testing motor strength is not the rationale for these movements.
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