Breasts and Axillae

When teaching a multicultural group of women over 40 years of age about breast cancer the nurse should include which statement?

Caucasian women are at greatest risk for developing breast cancer

Before assessing a female client's breasts for dimpling the nurse will position the client in which best position?

Sitting with hands on the hips

When performing a breast assessment on a client, the nurse finds a brown spot below the right breast. It has a nipple located in the center. The nurse should document this finding using which description?

Benign supernumerary nipple

When documenting the findings of a breast examination on a pregnant female the nurse should expect to document which observation?

Blue vascular pattern over breasts

A 20 year old female asks the nurse, " Why do my breasts feel bumpy a few days during the month"? What is the nurse's best response to the client?

Breast nodules are a result of monthly hormonal changes

When teaching the pregnant woman about her breasts, the nurse would evaluate that the client understands the instruction when the client makes which statement?

Colostrum is present in the breasts somewhere around the fourth month of pregnancy

When assessing the breasts of a 60-year-old woman, the nurse palpates the breasts and notes breast tissue that is pendulous with loss of elasticity. What action would the nurse take this time?

Document this as a normal findings

A woman who gave birth one month ago is in the emergency department with a red, warm, swollen, and tender left breast. The client has a temperature of 100 degrees Fahrenheit and reports fatigue and chills. Based on these findings the nurse should prepare to initiate a plan of care for which nursing diagnosis?

Impaired tissue integrity related to mastitis

The nurse is teaching the client about breast self-examination. The client asks, " Are there any areas of the breast where cancer is more likely to occur?" What is the nurse's best response?

In the upper outer quadrant

The client presents to the emergency room with pain, redness, warmth and swelling in the left breast. The nurse will further evaluate this client for which health problem?

Infection

The nurse is teaching the client to perform breast self-examination (BSE). The nurse should teach the client to perform the steps of the examination in what order?

Inspect the breast Inspect the axilla Palpate the breast from the center outward using the finger pads Palpate the axilla Palpate the nipple

When assessing the breasts in female clients, the nurse performs the assessment using which assessment techniques?

Inspecting and palpating the breast

The nurse is instructing a 47 year old female client about mammography. The nurse should include which instruction?

Obtain a mammogram every year

The mother of a 16 year old female calls the clinic information hotline. The mother is screaming and crying on the phone as she tells the nurse that her daughter found a lump in her breast. What is the nurse's best initial action?

Offer the mother support and provide concerned listening to decrease anxiety

The nurse is examining the breasts of a 15 year old girl. The client asks the nurse why her right breast is larger than the left What is the nurse best answer?

One breast may grow faster than the other during adolescence

The nurse performing a breast examination on a woman finds a crusty, scaly lesion on the right breast at the nipple. Based on this finding the nurse concludes that the client may have which health problem?

Paget's disease

A 50 year old male client with a history of cardiovascular disease tells the nurse, " it seems like my breasts are getting bigger as I get older." What is the nurse's best response

Please tell me what medications you are taking

The nurse is teaching a pregnant, third-trimester client about what to expect during delivery when the woman states, " I think I have breast infection. I have yellow discharge coming from my breasts". What would be the nurse's initial action?

State that this discharge is called colostrum, which is a precursor to milk, and is normal during pregnancy

The nurse working in a women's health clinic is teaching a female client about breast lesions. The nurse would explain that which characteristics are associated with a benign lesion? Select all that apply

Tenderness, Regular borders, Well-defined

The nurse is assessing the breast of an obese female. What is the most appropriate technique for the nurse to use to examine the breast?

Use the bimanual technique