cellular regulation Exemplar 2.C Breast Cancer

Why should the nurse tell a client who has undergone surgery for breast cancer to avoid wearing deodorant on the affected side? A) Deodorant can stimulate tumor growth in remaining cancer cells. B) Deodorant can inhibit the production of sweat, which stimulates healing. C) Deodorant can harbor bacteria and increase the client's risk for infection. D) Deodorant can irritate the skin and slow the healing process.

D

The nurse instructs a client recovering from a mastectomy on ways to prevent lymphedema. Which client statement indicates that teaching has been successful? A) "I should do the exercises on my affected arm every day." B) "I have to take no special precautions." C) "I should avoid cleansing my skin with soap." D) "Eating fresh fruits and vegetables will prevent my arm from swelling."

A

The nurse is providing care to a client who was recently diagnosed with breast cancer. The nurse is providing education regarding the possible treatment options. Which options will the nurse include in the teaching session? Select all that apply. A) Mastectomy B) Hormone therapy C) Lumpectomy D) Palliative care E) Radiation

ABCE

The nurse is reviewing data collected during a health history and physical assessment and determines that a client is at risk for developing breast cancer. Which data supports this client's risk for developing breast cancer? Select all that apply. A) Age 60 B) Breastfed both children C) Sister had breast cancer D) Body mass index 22 E) Menopause at age 58

ACE

The nurse is caring for a 78-year-old woman who was recently diagnosed with breast cancer. What consideration may the nurse need to make for this woman that she may not need to make for younger women with breast cancer? A) Discussing the woman's life expectancy B) Arranging transportation to appointments C) Ensuring the woman has adequate emotional support D) Providing teaching related to breast-conservation treatments

B

A client prescribed tamoxifen (Nolvadex) for breast cancer treatment asks the nurse how the medication works. What is the best response by the nurse? A) "Tamoxifen works by inhibiting the cellular mitosis of breast cancer." B) "Tamoxifen works by blocking estrogen receptors on breast tissue." C) "Tamoxifen works by binding to the DNA of breast cancer cells." D) "Tamoxifen works by inhibiting the metabolism of breast cancer cells."

B

The nurse is providing community teaching related to risk factors for breast cancer for a group of young women. Which woman might the nurse identify as being at a higher risk for developing breast cancer at a young age? A) A 28-year-old woman who received radiation for a spinal cord tumor at L3 during childhood B) A 26-year-old woman who had a 32-year-old brother with breast cancer C) A 34-year-old woman who has breastfed four children D) A 42-year-old woman who has a second cousin diagnosed with breast cancer at age 58.

B

Which form of breast cancer is the most malignant form? A) Infiltrating ductal carcinoma B) Inflammatory carcinoma of the breast C) Carcinoma of the mammary ducts D) Paget disease

B

While completing a physical examination, the nurse suspects a client has breast cancer. What did the nurse assess in this client? Select all that apply. A) Rash along the inside of the right arm B) Left nipple retraction C) Palpable lump in the upper outer right quadrant D) Scaliness near the right nipple E) Pain when extending the left arm

BCD

A woman has a family history of breast cancer, and genetic testing has revealed a mutation in BRCA2. If this woman develops breast cancer, what is the most likely mechanism for why the cancer developed? A) The cells' ability to accurately translate the RNA was impaired. B) The cells underwent mitosis rather than meiosis. C) The cells' ability to suppress tumor growth was impaired. D) The cells were stimulated to undergo rapid cell division.

C

The nurse is instructing a group of women between the ages of 40 and 50 about early detection of breast cancer. What should the nurse include in this teaching? A) Perform monthly breast self-exams. B) See a healthcare provider if there is a strong family history of breast cancer. C) Have a yearly mammogram. D) Have a clinical breast exam performed by a healthcare provider every 5 years.

C