# 一位病人詢問如何在常規篩檢之間察覺可能的乳房變化。哪一項衛教最好？

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=394127&lang=zh-tw  
> language: zh-TW  
> subject: Health Promotion/Disease Prevention  
> category: HPM

## 題目

一位病人詢問如何在常規篩檢之間察覺可能的乳房變化。哪一項衛教最好？

## 選項

1. 除非有劇烈疼痛，否則忽略變化。
2. 每 5 年才檢查一次是否有腫塊。
3. 穿著緊身衣物以防止乳房組織變化。
4. 報告新出現的腫塊、乳頭分泌物、皮膚凹陷或持續性的變化。 **✔ 正確答案**

**正確答案: 4**

## 解析

個案應了解自己乳房的正常外觀，並報告持續或新出現的變化，例如腫塊、乳頭分泌物、凹陷或皮膚變化。等待劇烈疼痛可能會延誤評估。篩檢時程不能取代報告新症狀。

## 深入解析

臨床判斷
健康促進包括了解哪些變化需要評估。

記憶提示
新腫塊、分泌物、凹陷：報告。

## 臨床情境

臨床實務指引
乳房健康衛教包括根據年齡和風險進行常規篩檢，以及對新症狀的及時評估。

注意事項
大多數變化並非癌症，但持續的變化應進行評估。

## 重要概念

- **乳房警覺** — 了解乳房正常的外觀和觸感，以察覺變化。
- **乳頭分泌物** — 來自乳頭的液體，可能需要根據其模式和情況進行評估。
- **皮膚凹陷** — 乳房皮膚的凹陷或皺摺，應進行評估。

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