A pregnant client expresses concern about performing breast self-examination during pregnancy since her breasts are tender. Which of the following would be the best response by the nurse in this situation?
1. "All you need to do is just concentrate on having a healthy baby for now.".
2. "You can wait until your breasts are no longer tender, and then resume your self-exams.".
3. "It's very important for you to be familiar with the changes in your breasts.".
4. "Breast cancer during pregnancy is rare, so don't worry about it.".
3
Rationale 1: "All you need to do is just concentrate on having a healthy baby for now" is inappropriate since it leads the client to believe that it is not possible to have breast cancer during pregnancy. Self–breast examination should be implemented throughout the pregnancy and during lactation.
Rationale 2: "You can wait until your breasts are no longer tender, and then resume your self-exams" is an incorrect statement since breast tenderness may continue throughout the pregnancy and lactation period. Self–breast examination should be implemented throughout the pregnancy and during lactation.
Rationale 3: "It's very important for you to be familiar with the changes in your breasts" is the best response by the nurse since, although rare, breast cancer can occur during pregnancy and lactation; therefore, self–breast examination should be implemented throughout the pregnancy and during lactation.
Rationale 4: While breast cancer during pregnancy is rare, the statement: "Breast cancer during pregnancy is rare, so don't worry about it" is inappropriate since breast cancer can occur during pregnancy and lactation. Self–breast examination should be implemented throughout the pregnancy and during lactation.
You might also like to view...
Which of the following problem definitions is matched with an accurate example?
a. Difficulty: A nurse ignores a client's requests to stop his dialysis. b. Dilemma: A nurse is scheduled to work over the weekend and she has a family outing to attend. c. Paradox: A nurse is counseling a woman with breast cancer about terminating her pregnancy and receiving chemotherapy or completing the pregnancy and possibly not surviving. d. Purposeful action: A nurse has been offered an exciting new position with a dra-matic increase in salary, but she would have to move out of state, away from her ailing parents.
A nurse gives a patient the wrong drug. This is an example of an error of:
a. commission. b. omission. c. condition. d. remission.
Which position would the nurse suggest for second-stage labor if the pelvic outlet needs to be increased?
a. Semirecumbent b. Sitting c. Squatting d. Side-lying
The nurse is caring for a patient who has chronic left-sided heart failure. Which statement would the nurse expect in the physician's written report following cardiac catheterization?
1. "Pressures in the left ventricle and atrium are increased.". 2. "Pressures in the left ventricle and atrium are equal.". 3. "Pressures in the right ventricle and atrium match the left ventricular pressures.". 4. "Pressures in the right ventricle exceed those in the left ventricle.".