A patient states during the interview that she noticed a new lump ...

[imowrer]

A patient states during the interview that she noticed a new lump in the shower a few days ago. It was on her left breast near her axilla. The nurse should plan to:
 
  a. Palpate the lump first.
  b. Palpate the unaffected breast first.
  c. Avoid palpating the lump because it could be a cyst, which might rupture.
  d. Palpate the breast with the lump first but plan to palpate the axilla last.

Question 2

During the physical examination, the nurse notices that a female patient has an inverted left nipple. Which statement regarding this is most accurate?
 
  a. Normal nipple inversion is usually bilateral.
  b. Unilateral inversion of a nipple is always a serious sign.
  c. Whether the inversion is a recent change should be determined.
  d. Nipple inversion is not significant unless accompanied by an underlying palpable mass.

[amit]

Answer to Question 1

ANS: B
If the woman mentions a breast lump she has discovered herself, then the nurse should examine the unaffected breast first to learn a baseline of normal consistency for this individual.

Answer to Question 2

ANS: C
The nurse should distinguish between a recently retracted nipple from one that has been inverted for many years or since puberty. Normal nipple inversion may be unilateral or bilateral and usually can be pulled out; that is, if it is not fixed. Recent nipple retraction signifies acquired disease