NEW PRACTICE QUESTIONS AND ANSWERS FOR PN LIVE REVIEW FUNDAMENTALS 2020

A nurse is reinforcing teaching with a client about breast self-examination (BSE). Which of the following statements by the client indicated an understanding of the teaching? A) "I should begin my BSE by looking at my breasts while standing in front of the mirror." B) "I should perform my BSE each month on the first day of my menstrual cycle." C)"I should expect a small amount of white discharge when I gently squeeze my nipples." D) "I should feel each of my breasts at the same time to check for any differences." - CORRECT ANSWER A) "I should begin my BSE by looking at my breasts while standing in front of the mirror." Rationale: The client should begin their BSE by standing in front of the mirror and inspecting the appearance of each breast. The client should observe for symmetry and changes in appearance. The nurse should instruct the client to report to the provider any indications of dimpling, puckered skin, rashes or scaling of the skin, or nipple discharge. These findings, or any other changes, warrant further assessment by the provider. ----- Why the other options are incorrect: The client should perform a BSE each month 4 to 7 days after menstruation ends. During this time of the menstrual cycle, the client's breasts are less tender than at the beginning of the cycle. Performing the BSE when the breasts are less tender allows the client to perform a more thorough self-examination and increases the likelihood that they will detect changes or abnormalities. The client should gently squeeze each nipple during the BSE to check for any discharge. The nurse should instruct the client to report any discharge from their nipples to the provider. After childbirth, the client might have clear yellow discharge from the nipples. Otherwise, this finding warrants further assessment by the provider. The client should palpate one breast thoroughly in a vertical strip, circular, or wedge pattern, checking for any lumps or masses in the breast. After completing the palpation of one breast,