Chapter 18, Breasts, Axillae, and Regional Lymphatics: Assessing the Breasts and Axillae

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Question 1 of 6

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Label the correct palpation technique when palpating breast tissue.

1

2

3

Correct Answers:

1

2

3

Submitted Answers:

Correct

1 Vertical strip

Correct

2 Circular

Correct

3 Wedge

Question 2 of 6

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After completing palpation of the breast tissue, what should the nurse do with the nipple?

    • Percuss the nippleOnce breast tissue palpation is complete, the nurse would not percuss the nipple.
    • Only assess the nippleOnce breast tissue palpation is complete, the nurse would not only assess the nipple.
    • Compress the nipple gentlyOnce breast tissue palpation is complete, the nurse would not compress the nipple.
  • Correct
    • Gently depress the nipple tissue inwardOnce breast tissue palpation is complete, the nurse should gently depress the nipple inward. This should happen easily.

Question 3 of 6

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What should the nurse do to avoid missing breast tissue during palpation?

    • Use only the thumbIn order to avoid missing any breast tissue during palpation, the nurse should avoid using the thumb. The finger pads should be used for palpation of the breast.
    • Palpate with the entire fingerIn order to avoid missing any breast tissue during palpation, the nurse should never palpate with the entire finger. Only the finger pads should be used.
    • Lift fingers off the breast tissueIn order to avoid missing any breast tissue during palpation, the nurse should never lift the fingers off the breast tissue.
  • Correct
    • Avoid lifting fingers off the breast tissueIn order to avoid missing any breast tissue during palpation, the nurse should avoid lifting fingers off the breast tissue.

Question 4 of 6

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Place the supine palpation steps in order.

  1. Help the patient lie down.
  2. Place a towel under one shoulder.
  3. Have the patient raise that arm above the head.
  4. Make sure the nipples are pointed toward the ceiling.
  5. Palpate each breast separately.

Assist the patient to lie down. Have a small towel or pillow placed under one shoulder. Have the patient extend that arm above the head and lay it on the table. Putting the towel under the shoulder will help spread the breast tissue more evenly over the chest wall. In the best position the nipple point to the ceiling. Be sure to start with one breast and palpate both separately.

Question 5 of 6

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Which breast palpation method requires the nurse to begin palpating at the top of the breast and continue downward and then upward?

    • Wedge methodPalpating breast tissue from the top to the bottom is not part of the wedge method. The wedge method entails starting at the nipple and going outward before coming back to the nipple.
    • Zig zag methodPalpating breast tissue from the top to the bottom is not called the zig zag method.
    • Circular methodPalpating breast tissue from the top to the bottom is not part of the circular method. The circular method entails starting at the outer edge of the breast tissue and slowly moving inward in circles.
  • Correct
    • Vertical strip methodPalpating breast tissue from the top to the bottom is called the vertical strip technique.

Question 6 of 6

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Where should the nipples point when a patient is in the supine position for palpation?

    • Toward the wallWhen a patient is in the supine position, it is not ideal for the nipples to point to the wall. This would mean that the patient is turned too far.
    • To opposite sidesWhen a patient is in the supine palpation position, it is not normally possible for the nipples to point to opposite sides. This would indicate a problem with the breasts.
  • Correct
    • Toward the ceilingIt is ideal for the nipples to point to the ceiling when the patient is in the supine position for palpation.
    • Toward the patient’s faceWhen a patient is in the supine position, it is not normally possible for the nipples to point toward the patient’s face. This would indicate a problem with the breasts.