NU664B (Latest Update )
Primary Care of Family I |
Questions & Answers | 100%
Correct | Grade A - Regis
Question:
1.When instructing a client on breast self-examination, the nurse reviews the
importance of visual inspection of the breasts. Which of the following should
the nurse instruct the client to focus on when doing this part of the
examination? (Select all that apply.)
1.Contour and symmetry of the breasts 2.Skin changes
3.Position of the nipples
4.Presence or absence of masses
5.Pain
6.Size
Answer:
ANS: 1, 2, 3, 4
1.Contour and symmetry of the breasts 2.Skin changes
3.Position of the nipples
4.Presence or absence of masses
,Visual inspection of the breast self-examination focuses on the contour and
symmetry of the breasts; skin changes such as scaling, puckering, dimpling, or
scars; the position of the nipples; nipple discharge or retraction; and presence
or absence of masses. This part of the examination does not include pain or
size of the breasts.
Question:
2.The nurse is preparing to assess a clients nipples during a breast
examination. Which of the following are considered pathological conditions
that affect the nipple? (Select all that apply.)
1.Bleeding
2.Lumps
3.Discharge
4.Scars
5.Fissures
6.Large size
Answer:
1.Bleeding
3.Discharge
5.Fissures
,Question:
3.Which of the following should the nurse do if a female client is experiencing
nipple discharge? (Select all that apply.)
1. Note the color of the discharge.
2. Determine if the discharge is from one or both breasts.
3. Obtain a sample of the discharge with a sterile cotton-tipped swab.
4.Assess the nipple drainage for occult blood
5.Apply sterile bandages over the nipple. 6.Pad the clients bra with gauze.
Answer:
1. Note the color of the discharge.
2. Determine if the discharge is from one or both breasts.
3. Obtain a sample of the discharge with a sterile cotton-tipped swab.
4.Assess the nipple drainage for occult blood
Question:
4.A client is experiencing galactorrhea. Which of the following should the
nurse assess in this client? (Select all that apply.) 1. Recent vigorous nipple
stimulation
2. Prescribed hormones, blood pressure medications, or antidepressants
3.Intake of herbal remedies such as fennel or anise
4.Use ofstreet drugs such as opiates and marijuana
5.Recent chest trauma
6.Age of menarche
, Answer:
1. Recent vigorous nipple stimulation
2. Prescribed hormones, blood pressure medications, or antidepressants
3.Intake of herbal remedies such as fennel or anise
4.Use ofstreet drugs such as opiates and marijuana
5.Recent chest trauma
Question:
5.A client is considering breast augmentation surgery. Which of the following
postoperative complications should the nurse discuss with the client
regarding this surgery? (Select all that apply.) 1.Change in sensation
2.Development of a hematoma 3.Fibrous tissue around the implant 4.Heart
palpitations 5.High blood pressure 6.Arm pain
Answer:
1.Change in sensation 2.Development of a hematoma
3.Fibrous tissue around the implant
Question:
A 23-year-old sexually active woman presents for her first Pap smear. Her
history includes nulligravida, age at first intercourse 14, and more than 10
sexual partners. Which of the following conditions should the clinician be
particularly alert for during her examination?
a. Human papillomavirus (HPV)