Author Question: The nurse is teaching an older adult client about breast self-examination (BSE). Which should the ... (Read 37 times)

Collmarie · **on:** Jun 25, 2018

The nurse is teaching an older adult client about breast self-examination (BSE). Which should the nurse provide during this instruction? Select all that apply.

1. Additional lighting.
2. Increased time.
3. Opportunity for questions.
4. Large-print handouts.
5. A quiz at the end of the instruction.

Question 2

The nurse is performing an assessment on a newborn and notes a thin, milky discharge from the infant's nipple. Which conclusion by the nurse based on this data is the most appropriate?

1. The newborn has a congenital anomaly.
2. This is a highly irregular finding.
3. This is a reason to call in a specialist.
4. This is a common finding in a newborn.

Joy Chen · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 1, 2, 3, 4
More time may be required for the focused interview of the older client who may have a more difficult time talking about something as private as the breasts. Limited range of motion and failing eyesight are some of the physical changes that accompany the aging process. Providing additional lighting, moving at a slower pace, and using handouts or pamphlets with large print may be helpful. A quiz would not be indicated as this may cause the client to experience undue stress.

Answer to Question 2

Correct Answer: 4
The breast tissue of newborns is sometimes swollen because of hyperestrogenism of pregnancy. Some infants may produce a thin discharge called witch's milk, which subsides as the infant's body eliminates maternal hormones. This is neither irregular nor hereditary, and there is no reason to call on a specialist.