Medical Surgical Nursing: Physical Examination
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Questions and Answers

The primary purposes of a physical examination related to the breast include promoting health and detecting health problems at an early stage.

True

Patients should be examined in a lying down position for breast assessments.

False

During breast palpation, a normal finding would include tenderness, masses, or nipple discharge.

False

Cooper’s ligament is a type of fibrous tissue that provides support to the breast.

<p>True</p> Signup and view all the answers

The areola and nipples should be palpated for tenderness and the presence of discharge during a breast examination.

<p>True</p> Signup and view all the answers

Documentation is not necessary after completing a breast health assessment.

<p>False</p> Signup and view all the answers

Breast self-examination is an important technique that should be taught to clients.

<p>True</p> Signup and view all the answers

Inspection is not a critical part of examining the breasts.

<p>False</p> Signup and view all the answers

Gynecomastia refers to the enlargement of male breasts.

<p>True</p> Signup and view all the answers

To minimize patient discomfort during palpation, it is recommended to use cold hands.

<p>False</p> Signup and view all the answers

The central axillary nodes can be palpated by pressing downward toward the chest wall.

<p>True</p> Signup and view all the answers

The lateral nodes are palpated by pressing fingers along the outer side of the upper arm.

<p>False</p> Signup and view all the answers

Palpating the anterior nodes requires grasping the anterior axillary fold with your thumb and fingers.

<p>True</p> Signup and view all the answers

The subscapular or posterior nodes can be palpated while standing in front of the patient.

<p>False</p> Signup and view all the answers

Documenting breast lumps can involve patterns such as circular and vertical strip.

<p>True</p> Signup and view all the answers

The references provided consist only of online sources.

<p>False</p> Signup and view all the answers

Study Notes

Learning Objectives

  • Identify purposes of breast physical examination: promote health, early detection of problems, and assess breast-related issues.
  • Demonstrate accurate documentation and reporting of health assessments.

Overview of Breast Anatomy

  • Normal breast structure includes lobes, ducts, and support tissues such as Cooper’s ligaments.
  • Understanding breast anatomy is crucial for effective assessment and examination.

Breast Assessment Techniques

  • Inspection: Look for skin dimpling and abnormalities in the breast.
  • Patient should adopt a sitting position for optimal inspection.
  • Palpation: Examine areola and nipples for masses or discharge, noting amount, color, consistency, and odor.
  • Typically, there should be no tenderness, masses, nodules, or abnormal discharge.
  • Instruct patients on breast self-examination techniques.

Documenting Breast Findings

  • Use specific methods for documenting breast lumps such as circular, wedged, or vertical strip patterns.

Male Breast Considerations

  • Male breasts can experience conditions like gynecomastia, which is characterized by enlarged breast tissue.

Axillary Assessment

  • Palpation of axillary nodes is critical, ensuring patient comfort by warming hands before examination.
  • Palpation Techniques:
    • Central nodes: Apply pressure downward toward the chest wall.
    • Pectoral/anterior nodes: Grasp anterior axillary fold with thumb and fingers while palpating the borders of the pectoral muscles.
    • Lateral nodes: Press fingers along the inner upper arm to compress nodes against the humerus.
    • Subscapular/posterior nodes: Stand behind the patient, pressing fingers into the muscles of the posterior axillary fold for palpation.

Reference Materials

  • Recommended textbooks cover health assessment in nursing and physical examination processes, essential for understanding anatomical and assessment concepts.

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Description

This quiz evaluates your understanding of the physical examination related to breast health. You'll learn to identify its purposes, assess problems, and demonstrate proper documentation techniques. Test your knowledge and enhance your skills in nursing practices.

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