breast cancer practice q's

The nurse is assessing the breast of a female patient and observes a prominent venous pattern on the left breast. What does the nurse understand that this can be indicative of? Thrombus formation Infection Ulceration of the nipple Increased blood supply required by a tumor

Increased blood supply required by a tumor

Several days before admission, a client reports finding a small lump in the left breast near the nipple. What should the nurse tell the client to do? Put a heating pad on the area to reduce inflammation. Check the area after the next menses. Inform the physician immediately. Squeeze the nipple to check for drainage.

Inform the physician immediately.

A nurse is preparing a presentation for a health fair about preventing breast cancer. Which of the following would the nurse include? Opting for estrogen only replacement therapy during menopause Maintaining an ideal weight Delaying childbearing until after age 30 Increasing the intake of caffeinated drinks

Maintaining an ideal weight

The nurse recognizes which statement as accurately reflecting a risk factor for breast cancer? Multiparity Mother affected by cancer before 60 years of age Onset of menses before 14 years of age No alcohol consumption

Mother affected by cancer before 60 years of age

Which is an early sign of Paget disease? Increased pulse Thickening of areola Nipple erythema Fever

Nipple erythema

A client has had a right modified radical mastectomy and axillary lymph node dissection. The nurse is teaching the client about measures to reduce the risk of complications. The client demonstrates understanding of the instructions when she states which of the following? "Anytime I need blood drawn, they should get the sample from my right arm." "I should tell my manicurist that it is okay to trim the cuticles on my right hand." "I need to use an electric shaver when shaving my right armpit." "I can lift with my right arm objects that weigh as much as 15 pounds."

"I need to use an electric shaver when shaving my right armpit."

Which statement demonstrates that a client has understood instructions about breast self-examination? "I should move the palm of my hand around the breast in a diagonal fashion." "I should perform the exam on the first day of my menstrual period." "I don't need to check the nipple area of the breast or under my arm." "I need to use the pads of three fingers to apply pressure when checking each breast."

"I need to use the pads of three fingers to apply pressure when checking each breast."

The nurse is caring for four clients in an oncology unit. Following report on diagnosis and treatment, which client would the nurse identify as having the most life-threatening diagnosis? A client receiving chemotherapy and radiation with a low blood count A client with stage IV cancer receiving palliative care A client diagnosed with a stage one tumor with no lymph node involvement A client with an estrogen receptor-positive tumor receiving oral chemotherapy

A client with stage IV cancer receiving palliative care

An older client underwent a lumpectomy for a breast lesion that was determined to be malignant. Which factors in the client's history may have increased the risk of breast cancer? increased age not giving birth All options are correct. obesity

All options are correct.

A client returns to the recovery room following a mastectomy. An initial postoperative assessment is performed by the nurse. What is the nurse's priority assessment? Checking level of pain first upon the clients return from the operating room. Checking the dressing, drain, and amount of drainage. Assessing the vital signs and oxygen saturation levels. Checking for urinary retention and the need to void.

Assessing the vital signs and oxygen saturation levels.

The nurse working on a cancer treatment floor assesses her assigned clients. It is most important for the nurse to report which assessment finding? Immediate postoperative report of throat tenderness Coolness and mottling of a newly constructed breast site Small amount of bloody drainage on surgical dressing 12 hours postoperatively Temperature 99.2°F, pulse 72, respirations 18, blood pressure 130/80

Coolness and mottling of a newly constructed breast site

The nurse is providing care to a client who has had surgery as treatment for breast cancer. The nurse would be alert for the development of which of the following? Fibrocystic breast disease Fibroadenoma Lymphedema Breast abscess

Lymphedema

Which term refers to breast pain? Mammoplasty Mastitis Mastalgia Gynecomastia

Mastalgia

Which term is used to describe removal of breast tissue and axillary lymph node dissection leaving muscular structure intact as surgical treatment of breast cancer? Modified radical mastectomy Radical mastectomy Segmental mastectomy Total mastectomy

Modified radical mastectomy

Which is inconsistent as a risk factor for breast cancer? Multiparity Older age Late menopause Family history of breast cancer

Multiparity

At a follow-up visit, the client is informed that her breast cancer has recurred. The nurse knows that which situation places the client at risk for developing bone metastases? No maternal family history of breast cancer Recurrence within 2 years of the original diagnosis Aggressive treatment, including surgery, radiation, and hormonal therapy Previous therapeutic response to chemotherapy

Recurrence within 2 years of the original diagnosis

A nurse is caring for a group of breast cancer survivors after mastectomy. Which teaching point should the nurse reinforce about activities 6 weeks after surgery? Wear tight-fitting shirts for support. Exercise only the unaffected side until seen by the healthcare provider. Brisk walking and stretching exercises can be introduced. Resume light household work.

Resume light household work.

A client who is to have breast conservation surgery is also to undergo a sentinel lymph node biopsy (SLNB). Which of the following would the nurse include in the client's preoperative teaching plan? The client's urine may have a blue-green discoloration in the first 24 hours. The client has an increased risk for developing lymphedema. The client will most likely be admitted for an overnight stay. The client will need less emotional support because the procedure is less invasive.

The client's urine may have a blue-green discoloration in the first 24 hours.

The nurse is providing preoperative instruction for a patient who will be having an excisional breast biopsy. The patient asks the nurse what type of bra should be used after the procedure. What should the nurse inform the patient? The patient should wear a supportive bra after the procedure. The patient may wear a bra as long as it is an underwire bra. The patient should avoid the use of a bra for 24 hours after the procedure. The patient will not be able to wear a bra until the sutures are removed.

The patient should wear a supportive bra after the procedure.

Which of the following are the two most important prognostic factors associated with breast cancer? Select all that apply. Tumor size Axillary lymph node involvement Age of patient Comorbidities Current activity level

Tumor size Axillary lymph node involvement

A client with a painless, firm, nontender lump in the breast is being scheduled for diagnostic testing. Which test would the nurse expect the physician to order? Ultrasound Standard mammogram Excisional biopsy Culture of discharge

Ultrasound

During a teaching demonstration on breast self-examination (BSE), the nurse should always explain that the majority of breast cancers are found in the: Lower, inner quadrant. Upper, inner quadrant. Lower, outer quadrant. Upper, outer quadrant.

Upper, outer quadrant.

During a follow-up visit, a female client who underwent a mastectomy presents with an infection that requires an antibiotic. She admits she has been doing some gardening. What further instruction and reinforcement of teaching is needed? Avoid household chores for at least 6 to 9 months. Wear gloves and protective clothing to avoid any injuries. Increase the frequency of follow-up visits if she does works. Avoid working in the garden or yard altogether.

Wear gloves and protective clothing to avoid any injuries.

A health care provider recommends that a patient with breast cancer undergo a modified radical mastectomy. The nurse explains that this procedure involves removal of the entire breast: while preserving the nipple-areola complex. and the nipple-areola complex without lymph node removal. along with lymph nodes and the underlying pectoralis major and minor muscles. and the nipple-areola complex along with the axillary node dissection.

and the nipple-areola complex along with the axillary node dissection.

Which primary prevention modality aims to prevent the disease before it starts? Mastectomy Radiation therapy Long-term surveillance Chemoprevention

Chemoprevention

A 28-year-old woman is learning about breast self-examination. The nurse teaches the woman that the best time of each month to examine her breasts is during the: Week before menstruation occurs. Week that menstruation occurs. First week after menstruation. Week that ovulation occurs.

First week after menstruation.

Hematoma and seroma formation are complications of breast surgery. Which of the following is the indicator that should be reported to the surgeon? Bruising of the skin Pain at the site Tightness of the skin Gross swelling

Gross swelling

The nurse instructs a client on self-care after having a mastectomy with lymph node removal. Which client statement indicates that teaching has been effective? "I can resume all activities of daily living after the wound heals." "I will limit sun exposure to 15 minutes a day on the affected arm." "I will shave under my arms with an electric razor." "I can lift objects up to 25 pounds (11.4 kg) with my affected arm."

"I will shave under my arms with an electric razor."

A ductal carcinoma in situ (DCIS) is considered to be which stage of breast cancer? 0 3 2 1

0

The nurse is educating a patient about the best time to perform breast self-examination (BSE). When does the nurse inform her is the best time after menses to perform BSE? 3 to 4 days 8 to 9 days After the 10th day 5 to 7 days

5 to 7 days

A nurse is reviewing a client's history for possible risk factors associated with breast cancer. Which of the following would the nurse identify as increasing the client's risk? One of three living children born prematurely Menopause at age 50 years Menarche at age 14 years First full-term pregnancy at age 34 years

First full-term pregnancy at age 34 years

The nurse is educating a group of women at the YMCA about breast cancer. What does the nurse understand is the current trend that should be focused on rather than BSE? Hormone replacement Breast self-awareness Ultrasound with mammography Mammography every year

Breast self-awareness

A 33-year-old female client with three children has had a follow-up mammogram after an abnormal BSE. Mammogram findings reveal incidental microscopic abnormal tissue growth in the left breast lobules. The physician orders tamoxifen for the client. The nurse understands that the physician is implementing which primary prevention modality to treat this client? Radiation therapy Prophylactic mastectomy Long-term surveillance Chemoprevention

Chemoprevention

The nurse is caring for a client with breast cancer and removal of axillary lymph nodes. Which assessment finding is documented and brought to the physician's attention as potential lymphedema? Drainage from the areola Fluid accumulation under in the axilla Enlargement of the arm or hand A reddened area around the breast

Enlargement of the arm or hand

A client is considering use of chemoprevention because she is at high risk for developing breast cancer. What can the nurse do to assist the patient with her decision? Inform the patient that medication should not be used prophylactically due to the many side effects. Inform the patient that she should take every measure available to her to prevent this disease. Provide the patient with information about bilateral mastectomy for the prevention of this disease. Provide the patient with information regarding the benefits, risks, and possible side effects.

Provide the patient with information regarding the benefits, risks, and possible side effects.

A 35-year-old female client is requesting information about mammograms and breast cancer. She isn't considered at high risk for breast cancer. What should the nurse tell this client? When she begins having yearly mammograms, breast self-examinations will no longer be necessary. She should eat a low-fat diet to further decrease her risk of breast cancer. She should have had a baseline mammogram before age 30. She should perform breast self-examination during the first 5 days of each menstrual cycle.

She should eat a low-fat diet to further decrease her risk of breast cancer.

A nurse who works in an oncology practice prepares patients for the side effects of adjuvant hormonal therapy to treat breast cancer. Which of the following is the hormonal agent that has an increased risk of pulmonary embolism and deep vein thrombosis? Tamoxifen Anastrozole Letrozole Exemestane

Tamoxifen

A client complains of having tender and painful breasts, often feeling multiple lumps within her breast tissue. The nurse would need to gather additional information about which of the following? Bathing frequency and living surroundings Alcohol and caffeine consumption Timing of symptoms in relation to the menstrual cycle Client's workplace in relation to the surroundings

Timing of symptoms in relation to the menstrual cycle

A client is very concerned about possibly having breast cancer, especially after caring for a close family member who recently died from the disease. The nurse informs the client that the primary and most common sign of breast cancer is a: painless mass in the breast, most often in the lower quadrant near the nipple. painless mass in the breast, most often in the upper outer quadrant. painful mass in the breast, most often in the lower quadrant near the nipple. painful mass in the breast, most often in the upper outer quadrant.

painless mass in the breast, most often in the upper outer quadrant.