The nurse who is teaching a client breast self-examination describes inspection of the breasts before a mirror. Which findings should the nurse tell the client should be evaluated by a health care provider? (Select all that apply.)

1. Puckering of the skin
2. Flattening of the breast from the side view
3. Free movement of the breast over the chest wall
4. Symmetry of the nipples
5. Change in shape


Correct Answer: 1,2,5
Rationale: The client should be taught to observe for change in size or shape, lumps or thickenings, rashes or skin irritations, dimpled or puckered skin, and discharge or change in nipples. The nipples should be symmetrical and the breasts should have free movement over the chest wall.

Nursing

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A public health nurse is conducting a health promotion teaching session at a seniors' drop-in center. Which of the following teaching points about hip fractures in older adults is most justified?

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Congenital malformations of the infant may include:

a. Abnormal structure b. Abnormal function c. Abnormal metabolism d. All of the above

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