The nurse is performing a breast assessment of an Asian adult female. Which action should the nurse complete first?
1. Ask the client if she has ever had any breast disease such as cancer of the breast, fibrocystic disease, or fibroadenoma.
2. Ask the client to disrobe from the waist up and place a gown on with the opening to the front.
3. Ask the client if she has noticed any changes in her breasts such as lumps, thickening, or discharge from the nipples.
4. Ask the client how she feels about her breasts.
Correct Answer: 3
Asking the client if she has noticed any changes in her breasts may open up rapport with this client. Females of Asian descent are often stoic and do not seek preventive care so this would be a good way to lead into the entire focus assessment and physical exam. Immediately asking her questions about breast disease, how she feels about her breasts, or having her disrobe would likely be uncomfortable for a client from this culture.
You might also like to view...
Ethics is the study of what is right and wrong related to human conduct
Indicate whether the statement is true or false
Prior to assessing the adult client's temperature rectally, which action by the nurse is the most appropriate?
1. Lubricate the tip of the thermometer. 2. Obtain a health care provider's order. 3. Position the client in the Trendelenburg position. 4. Position the client in the Fowler's position.
A female client with genital warts who was treated with topical podophyllin and tincture of benzoin would indicate to the nurse the need for further teaching when the client says
a. "I need to come for frequent treatment until all the warts disappear." b. "I'll be glad when these warts are cured." c. "I'll make sure my boyfriend is treated." d. "These warts are usually spread by having sex."
A patient is prescribed intravenous ertapenem (Invanz). Which question is most important for the nurse to ask before giving the first dose of this drug?
a. "Do you have a hearing problem or any trouble with your ears?" b. "Do you take medications for seizures?" c. "Are you allergic to sulfa drugs?" d. "Have you ever had asthma?"