A nurse is caring for a client admitted preoperatively for a ...

[Yi-Chen]

A nurse is caring for a client admitted preoperatively for a bilateral mastectomy. Which statement indicates that this client is still in the shock phase of adjustment to her diagnosis?
 
  1. I can't understand why this is happening to me.
  2. I am so happy that my daughter graduates from high school this year.
  3. I know that breast cancer is now part of my life.
  4. I can't believe that I need to lose both of my breasts.

Question 2

A nurse is providing a patient with instructions regarding breast self-examination (BSE).
 
  Which of the following statements by the patient would indicate that the teaching has been successful? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. I should perform BSE 1 week prior to the start of my period.
  2. When I reach menopause, I will perform BSE every 2 months.
  3. Knowing the texture of my breasts is important.
  4. I should inspect my breasts while standing with my arms down at my sides.
  5. I should inspect my breasts while in a supine position with my arms at my sides.

[thall411]

Answer to Question 1

1
Explanation: 1. In the shock phase, a client makes statements such as this.

Answer to Question 2

3,4
Rationale 1: BSE should be performed 1 week after the start of each menstrual period.
Rationale 2: BSE should be performed monthly, on the same day each month, during menopause.
Rationale 3: A woman who knows the texture and feel of her own breasts is far more likely to detect changes that develop.
Rationale 4: The breasts should be inspected while standing with arms at sides.
Rationale 5: Supine is not a correct position for BSE.

[Yi-Chen]

TYSM

[rachel]

Excellent