Author Question: When instructing a client on breast self-examination, the nurse reviews the importance of visual ... (Read 88 times)

asan beg · **on:** Jun 25, 2018

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

Question 2

The nurse is collecting a 24-hour urine specimen from a client with an indwelling urinary catheter. How should the nurse collect this specimen?

1. Empty the catheter bag once a shift and place the urine in a collection container on ice.
2. Disconnect the catheter from the tubing and drain the urine directly into the collection container.
3. Aspirate urine from the tubing port with a sterile needle every hour and place in a collection container on ice.
4. Place the catheter bag on ice and empty regularly into the collection bottle, which is also kept on ice.

lkoler · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

1, 2, 3, 4
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.

Answer to Question 2

4
When collecting a 24-hour urine specimen from a client with an indwelling catheter, the nurse should place the catheter bag on ice and empty regularly into the collection bottle which is also to be kept on ice. The other choices are incorrect and could cause inaccurate test results.