To lessen patient discomfort during the breast examination, the nurse would instruct the patient to do which of the following?
a. Schedule the appointment during the next menstrual period.
b. Avoid shaving her underarms 24 to 48 hours before the scheduled examination.
c. Apply lotion or powder to her breasts and underarms before the appointment to minimize friction to the skin during the examination.
d. Restrict fluid intake for 24 hours before the appointment.
B
To lessen patient discomfort during the breast exam, instruct the patient not to use creams, lotions, or powders, or shave her underarms 24 to 48 hours before the scheduled exam. Toiletry products can mask or alter the nature of the surface integument of the breasts. Shaving can cause folliculitis, which can result in pain upon palpation.The best time for a breast examination is right after the menstrual cycle, or the 4th through 7th day of the menstrual cycle when the breasts are smallest and least congested. However, this is not associated with discomfort during the exam. The timing of the exam is related to enhancing the possibility of detecting abnormalities. Fluid does not need to be restricted before the examination.
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