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PN 111 Ch 16 and 17 EXAM QUESTIONS AND ANSWERS WITH VERIFIED CORRECT SOLUTIONS $10.99   Add to cart

Exam (elaborations)

PN 111 Ch 16 and 17 EXAM QUESTIONS AND ANSWERS WITH VERIFIED CORRECT SOLUTIONS

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PN 111 Ch 16 and 17 EXAM QUESTIONS AND ANSWERS WITH VERIFIED CORRECT SOLUTIONS How should the nurse teach a female patient to perform a self breast examination (SBE)? *Teach patient to use pads of fingertips ***Stand in front of a mirror—to inspect for symmetry ***Press GENTLY with the pad...

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  • September 14, 2024
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  • 2024/2025
  • Exam (elaborations)
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PN 111 Ch 16 and 17 EXAM QUESTIONS AND ANSWERS WITH

VERIFIED CORRECT SOLUTIONS


How should the nurse teach a female patient to perform a self breast examination

(SBE)?

*Teach patient to use pads of fingertips

***Stand in front of a mirror—to inspect for symmetry

***Press GENTLY with the pads of the fingertips while moving your fingers (without

lifting off of breast) in a pattern (star, vertical, horizontal) across your chest

* Be sure to teach the patient to include the axillary area because most lymph draining

from the breast flows through this area.

* More than 75% of lymph drainage from the breast flows outward toward the axillary

lymph node.

*Note any new lumps

*Note consistency of lumps

*Note any drainage, skin changes

How should the nurse perform a female breast examination?

*Always explain procedure before you begin.

*Let patient know you will be touching her breasts, and obtain permission before

beginning.

*Position patient so she is sitting on examination table facing you, sitting erect with

gown dropped to waist.

, ***Following inspection, assist patient into supine position so that breasts and nipples

may be palpated--a pillow should be placed under the shoulder of the breast being

examined in order to flatten the breast tissue over the chest wall to make abnormal

findings easier to feel.

*Inspect both breasts: Note size, shape, contour, and symmetry.

***Have patient lean forward to assess symmetry of the suspensory ligaments.

*Inspect skin for color, pigmentation, vascularity, surface characteristics, and lesions.

*Inspect areolae for color and surface characteristics.

*Inspect nipples for position, symmetry, surface characteristics, lesions, bleeding, and

discharge

*Inspect breasts with patient in various positions for bilateral pull, symmetry, and

contour. Also look for nipple symmetry

*Inspect and palpate axillae for evidence of rash, lesions, or masses.

***Palpate breasts for tissue characteristics. Palpate up into the axilla-most lymphatic

drainage from the breast travels through there--Lymph nodes in the axilla area are not

normally palpable or visible

*Palpate nipples for surface characteristics and discharge

How does the nurse perform breast examination of a male patient and what are

the expected findings?

Inspect breasts and nipples.

Palpate breasts and nipples.

Examine him while sitting with his arms at his side.

Expected findings:

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