(zerwekh) ch 24 breast disorders

Question 1

risk factors breast cancer (6)

Answer 1

• female
• increased age
• family h/o
• face
• never been pregnant
• repro h/o (early period, late menopause, late age of 1st pregnancy)

Question 2

S+S breast cancer (5)

Answer 2

• lump
• nipple change
• asymmetry
• skin changes (dimpled)
• lymphedema of arm

Question 3

Dx for breast cancer (5)

Answer 3

• mammogram screening
• breast self exam
• clinical breast exam
• MRI
• biopsy if abnormal mammogram/MRI

Question 4

when should women start getting mammogram screening

Answer 4

1st screening @ 40 yo

annual screenings from 45 yo on

Question 5

when should women start getting clinical breast exams

Answer 5

• q3y @20-39 yo

- q1y @40 yo+

Question 6

what women should get an MRI when diagnosing for breast cancer

Answer 6

younger pts with family h/o breast cancer

Question 7

treatment options breast cancer (3)

Answer 7

• lumpectomy
• simple mastectomy
• radical mastectomy
• radiation/chemo
• hormonal therapy

Question 8

what are women at risk for postop radical mastectomy

Answer 8

lymphedema

Question 9

treatment lymphedema and postop considerations post radical mastectomy (3)

Answer 9

• compression wraps
• exercises
• no bp or venipunctures on affected arm **

Question 10

hormonal therapy med for breast cancer

Answer 10

tamoxifen (anti-estrogen med)

Question 11

side effect tamoxifen hormonal therapy for breast cancer (3)

Answer 11

• menopause S+S
• increased risk clots
• increased risk cataracts

Question 12

nursing consideration post-mammoplasty

Answer 12

check pulse of flap q1h for 12 hours

Question 13

post mastectomy nursing care (4)

Answer 13

• elevate affected side
• no bp, injections or venipunctures on affected side
• flexion and extension exercises
• monitor for complications: lymphedema, hemorrhage, hematoma, infection, pain