When providing education to a client concerning breast self-examinations, the client asks what days are best to perform the examination. What information should be included in the response given to the client?

Correct Answer: D

Rationale: The correct answer is D: The examination is best performed after the menstrual period because breasts are least likely to be tender or swollen at this time, making it easier to detect any abnormalities. Performing the examination right after the period also ensures a consistent time each month. A: It does matter what day the examination is performed as timing can impact the accuracy of the examination. B: Performing the examination on the first day of the menstrual period may not be ideal as breasts can be more tender and swollen during this time, potentially affecting the accuracy of the examination. C: Performing the examination in the days just prior to the menstrual period may also not be ideal as breasts tend to be more tender and swollen during this time, making it harder to detect abnormalities.

Correct Answer: B

Rationale: Correct Answer: B - High-protein diet with vitamins and mineral supplements Rationale: 1. High-protein diet aids in tissue repair and wound healing, crucial for preventing pressure ulcer formation. 2. Vitamins and mineral supplements support overall nutritional status, essential for skin integrity and healing. 3. Protein is vital for maintaining muscle mass, which helps prevent pressure ulcers. 4. Focusing on protein and essential nutrients is key for overall health and immune function. Summary of other choices: A: Low-fat diet may lack essential nutrients for wound healing. Vitamin supplements alone may not provide adequate protein for tissue repair. C: A vegetarian diet can be nutritious, but fish oil may not be sufficient for protein needs. Nutritional supplements may not provide enough protein. D: Low-fat, low-cholesterol, high-fiber, low-carb diet may lack adequate protein for tissue repair and wound healing.

Correct Answer: B

Rationale: The correct answer is B: Wear gloves when bathing the client. This is crucial to prevent the spread of infection from the open skin lesions. By wearing gloves, the UAP can protect themselves and the client from potential harm. A: Washing hands before touching the client is important for general hygiene, but gloves are specifically needed to prevent infection transmission. C: Assessing skin for breakdown is the nurse's responsibility, not the UAP's. D: Applying lotion to lesions while the skin is wet can introduce bacteria and is not within the UAP's scope of practice.

Correct Answer: A

Rationale: Correct Answer: A Rationale: 1. Keeping water temperature constant is crucial to prevent burns or discomfort during hydrotherapy. 2. UAPs do not have the training to assess wound beds accurately; this falls under the nurse's scope of practice. 3. Applying a topical enzyme agent requires assessment and judgment beyond UAP's scope. 4. Using sterile saline for wound irrigation is a nursing task that should not be delegated to a UAP.

Correct Answer: A

Rationale: The correct answer is A because administering patch testing is a technical task that an LPN/LVN is qualified to perform. LPNs/LVNs are trained in basic patient care and medication administration. Patch testing involves applying allergens to a patient's skin to determine allergic reactions. This task does not require advanced assessment or critical thinking skills. Choice B involves interviewing a new patient about chronic health problems and allergies, which requires comprehensive assessment and critical thinking abilities typically performed by a registered nurse (RN). Choice C involves applying a sterile dressing after a medical procedure, which requires a higher level of assessment and critical thinking beyond the scope of an LPN/LVN. Choice D involves patient education after a medical procedure, which also requires a more advanced level of nursing assessment and critical thinking typically performed by an RN.