During an assessment, the patient asks why the nurse is "feeling her armpit." How should the nurse respond?
Select all that apply.
1. "I'm counting the ribs."
2. "Don't you feel your own armpits?"
3. "Breast tissue extends into this area."
4. "I'm assessing hair distribution in this area."
5. "The armpits should be part of a breast self-exam."
Correct Answer: 3, 5
The nurse palpates all sections of both axillae for enlarged nodes. The nurse should explain breast self-exam (BSE) to the patient. The nurse is not counting the ribs or assessing hair distribution. The nurse needs to answer the patient's question rather than ask another question.
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