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?
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 1: The client should be instructed to observe for puckering of the skin.
Rationale 2: The client should be instructed to observe for changes in the size or shape of the breasts.
Rationale 3: The breasts should have free movement over the chest wall.
Rationale 4: Nipple symmetry is a normal assessment finding.
Rationale 5: The client should be instructed to observe for changes in the size or shape of the breasts.
You might also like to view...
A nurse instructs a nursing assistant about moving older adult patients in bed. When should the nurse intervene when observing the nursing assistant perform a return demonstration?
a. The nursing assistant is using simple language. b. The nursing assistant is avoiding jerky movements. c. The nursing assistant is avoiding sudden movements. d. The nursing assistant is pulling the patient across bed linens.
Your long-term care facility is making a change to the team method of caregiving. Administration holds planning meetings for all shifts and keeps all involved employees informed in writing, as well
Which of the following explains the actions of the administrator? 1. Planned change 2. Unfreezing 3. Refreezing 4. Moving
A patient has a history of smoking and now has painless hematuri
a. After a workup, the patient is told the diagnosis of bladder cancer. What action by the nurse is most important? a. Allow the patient to verbalize feelings. b. Educate the patient on care of an ileal conduit. c. Teach the patient how to manage nausea. d. Offer a social work referral to complete a living will.
You are transporting a patient with an IV of D5W. Which of the following signs would be atypical of infiltration?
A. Edema at the catheter site B. Tightness and pain around the IV site C. Redness around the IV site