10 Flashcards
1.A nurse is providing breast care education to a client after mammography. Which information regarding fibrocystic changes in the breast is important for the nurse to share?
Healthy women with fibrocystic breast disease find lumpiness with pain and tenderness in varying degrees in the breast tissue during menstrual cycles.
A nurse is providing education to a support group of women newly diagnosed with breast cancer. It is important for the nurse to discuss which factor related to breast cancer with the group?
The exact cause of breast cancer remains unknown
Which diagnostic test is used to confirm a suspected diagnosis of breast cancer?
Needle-localization biopsy
A healthy 60-year-old African-American woman regularly receives health care at her neighborhood clinic. She is due for a mammogram. At her first visit, her health care provider is concerned about the 3-week wait at the neighborhood clinic and made an appointment for her to have a mammogram at a teaching hospital across town. She did not keep her appointment and returned to the clinic today to have the nurse check her blood pressure. What is themostappropriate statement for the nurse to make to this client?
Would you like me to make an appointment for you to have your mammogram here?”
A client’s oncologist has just finished explaining the diagnostic workup results to her, and she still has questions. The woman states, “The physician says I have a slow-growing cancer. Very few cells are dividing. How does she know this?” What is the name of the test that gave the health care provider this information?
S-phase index
Breast pain occurs in many women during their perimenopausal years. Which information is a priority for the nurse to share with the client?
Distinguishing between cyclical and noncyclical pain is important.
After a mastectomy, which activity should the client be instructed to avoid?
Wearing clothing with snug sleeves to support the tissue of the arm on the operative side
8.A health care provider performs a clinical breast examination on a woman diagnosed with fibroadenoma. How would the nurse explain the defining characteristics of a fibroadenoma?
Single lump in one breast that can be expected to shrink as the woman ages
What important, immediate postoperative care practice should the nurse remember when caring for a woman who has had a mastectomy?
a.
The blood pressure (BP) cuff should not be applied to the affected arm.
A woman has a breast mass that is not well delineated and is nonpalpable, immobile, and nontender. Which condition is this client experiencing?
Intraductal papilloma
A client is concerned because she has been experiencing some milky, sticky breast discharge. Which nonmalignant condition is exhibited with this finding?
Galactorrhea
12.A client has been prescribed adjuvant tamoxifen therapy. What common side effect might she experience?
Weight gain, hot flashes, and blood clots
.Fibrocystic changes in the breast most often appear in women in their 20s and 30s. Although the cause is unknown, an imbalance of estrogen and progesterone may be the cause. The nurse who cares for this client should be aware that treatment modalities are conservative. Which proven modality may offer relief for this condition?
Diuretic administration
What is the correct name describing a benign breast condition that includes dilation and inflammation of the collecting ducts?
Mammary duct ectasia
Which client is most at risk for fibroadenoma of the breast?
16-year-old girl
Which client should the nurse refer for further testing?
Small dimple located in the upper outer quadrant of the right breast
The most conservative approach for early breast cancer treatment involves lumpectomy followed by which procedure?
Radiation
Macromastia, or breast hyperplasia, is a condition in which women have very large and pendulous breasts. Breast hyperplasia can be corrected with a reduction mammoplasty. Which statement regarding this procedure is themostaccurate?
Breastfeeding might be difficult.
Having a genetic mutation may create an 85% chance of developing breast cancer in a woman’s lifetime. Which condition does not increase a client’s risk for breast cancer?
Paget disease
A client is scheduled for surgery after a recent breast cancer diagnosis. The nurse is discussing the procedure with the client. To allay her fears, which explanation best describes a skin-sparing mastectomy?
Removal of the breast, nipple, and areola, leaving only the skin
Researchers have found a number of common risk factors that increase a woman’s chance of developing a breast malignancy. It is essential for the nurse who provides care to women of any age to be aware of which risk factors?(Select all that apply.)
Family history
Race
Nulliparity or first pregnancy after age 40 years
