breast cancer prepU

A nurse is teaching a woman who has undergone breast augmentation about developing breast awareness through breast self examination. The nurse determines that the teaching was successful based on which client statement?

"I should do the exam just like I was doing before the implants."

The nurse is caring for a 52-year-old woman whose sisters and mother died of breast cancer. The client states, "My doctor wants me to take tamoxifen to help prevent breast cancer. What do you think?" What would be the nurse's best response?

"Tamoxifen reduces the incidence."

After teaching a group of students about the signs and symptoms of breast cancer, the instructor determines that additional teaching is needed when the group identifies which of the following?

breast symmetry (not a sign) signs: painless mass nipple retraction bloody nipple discharge dimpling orange peel size difference between breast

What is the most common breast mass in women?

fibroadenoma

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?

first pregnancy at 34 years old

During a breast examination, which finding most strongly suggests that a client has breast cancer?

fixed nodular mass with dimpling

Hematoma and seroma formation are complications of breast surgery. Which of the following is the indicator that should be reported to the surgeon?

gross swelling or increased bloody output from drain

A patient has had a total mastectomy 12 hours ago and the nurse is assessing the surgical wound. The nurse observes ecchymosis, swelling, and tightness around the wound, and the patient states that it is painful. What does the nurse suspect has occurred?

hematoma

The nurse is reviewing the history and physical exam of a woman who has come to the clinic for a routine physical. Which factor would the nurse identify as increasing the client's risk for breast cancer?

history of ovarian cancer

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?

increased blood supply required by tumor

A female patient comes to the clinic with the complaint that she is having a greenish-colored discharge from the nipple and the breast feels warm to touch. What does the nurse suspect these symptoms may indicate?

infection

The nurse is developing a presentation for a local women's health center about breast cancer. Which cancer would the nurse include as being the most common type of breast cancer?

invasive ductal carcinoma

The client arrives at a public health clinic worried that she has breast cancer since finding a lump in her breast. When assessing the breast, which assessment finding is characteristic of fibrocystic disease?

lump is round and movable

A client comes to the clinic for a routine evaluation. During the physical examination, the nurse palpates the client's breast and finds a small lump. Which of the following would lead the nurse to suspect possible breast cancer?

lump shape is irregular

Sentinel lymph node mapping is done to validate the lack of lymph node metastasis. Which complication does this technique help avoid?

lymphedema

How should the nurse counsel a postpartum client on how to prevent mastitis?

wash hands and let breast fully dry

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?

wear gloves to avoid injury

As part of a presentation on breast cancer being given to a local woman's group, the nurse describes the need for early detection through screening. Applying the guidelines from the American Cancer Society, the nurse would emphasize which recommendation?

yearly mammograms for women starting at age 40

A client arrives at the health care facility reporting a lump that she felt during her breast self-examination. Upon diagnosis, the primary care provider suspects fibroadenomas. Which question should the nurse ask when assessing the client?

"are you lactating?"

A nursing diagnosis of Risk for impaired tissue integrity would be most appropriate for which client?

client having reconstructive breast surgery

The health care provider has just informed the client that her breast biopsy is positive for carcinoma. One of the nurse's first responsibilities is to assist with:

education

A female client is diagnosed with breast abscess. She would like to continue to breast-feed her newborn. Which of the following would be most appropriate in this situation?

Assist the client to pump the breasts to remove breast milk.

A patient is told that she has a common form of breast cancer where the tumor arises from the duct system and invades the surrounding tissues, often forming a solid irregular mass. What type of cancer does the nurse prepare to discuss with the patient?

Infiltrating ductal carcinoma

The nurse is monitoring a client with metastatic breast cancer who is receiving morphine for pain control. The nurse would be alert for which of the following?

Excessive sedation, confusion, and weakness

Which is a characteristic of a breast cancer mass?

Firm, hard, embedded in surrounding tissue

The nurse recognizes which statement as accurately reflecting a risk factor for breast cancer?

Mother affected by cancer before 60 years of age

In which client would the nurse suspect cancer?

a 45-year-old with thickening in one breast with nipple irritation and retraction and a pink discharge

A nurse is speaking to a group of women about early detection of breast cancer. The average age of the women in the group is 47. Following the American Cancer Society guidelines, the nurse should recommend that the women:

annual mammogram

When preparing a teaching plan for a woman with mastitis, the nurse would include which instruction?

apply warm compress

The nurse is teaching a client with mastitis about care measures. Which client statement indicates effective teaching?

"I can use warm soaks to my breast to relieve the discomfort."

At a class for new mothers, the nurse notes that the participants need more teaching when one of the mothers makes which comment?

"I have to stop breastfeeding because of mastitis."

Which statement demonstrates that a client has understood instructions about breast self-examination?

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

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?

Being female, being older than 50 years of age, and having a family history of breast cancer, obesity,and having no children or having children after 30 years of age

A young client desires to know her risk of developing breast carcinoma. She has a positive family history of breast carcinoma. The nurse would suggest that she should undergo which diagnostic test?

BRCA-1 genetic marker

A nurse is caring for a client who has just had her intraductal papilloma removed through a surgical procedure. What instructions should the nurse give this client as part of her care?

Continue monthly breast self-examinations.

The nurse working on a cancer treatment floor assesses her assigned clients. It is most important for the nurse to report which assessment finding?

Coolness and mottling of a newly constructed breast site

The nurse is assessing an older adult female who has not seen her physician in 2 years. The nurse is assisting the patient into a gown and notices that the patient has edema and pitting of the skin on the right breast. What does the nurse understand is the significance of this finding?

It may result from a neoplasm blocking lymphatic drainage, giving the skin an orange-peel appearance, a classic sign of advanced breast cancer.

A client tells the nurse that she has found a painless lump in her right breast during her monthly self-examination. Which assessment finding would strongly suggest that this client's lump is cancerous?

Nonmobile mass with irregular edges

Which is an early sign of Paget disease?

Nipple erythema

The nurse teaches a premenopausal female client to perform breast self-examination (BSE) at which interval?

On day 5 to day 7, counting the first day of menses as day 1

A nurse is caring for a client who has just had a modified radical mastectomy with immediate reconstruction. She's in her 30s and has two young children. Although she's worried about her future, she seems to be adjusting well to her diagnosis. What should the nurse do to support her coping?

Refer the client to the American Cancer Society's Reach for Recovery program or another support program.

A patient had a sentinel node biopsy and informs the nurse that something is very wrong with her. The patient explains that she had a bowel movement and urinated and both are a blue color. What should the nurse inform the patient?

The dye that was used during the biopsy is safe and being excreted.

The nurse is caring for a client who is ordered a sentinel lymph node biopsy. The physician explained the procedure and desired outcome. Which statement, made by the client, indicates a need for further instruction?

The procedure removes all cancer from the body.

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:

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

The most common route of regional spread is to which area?

axillary lymph nodes

To help detect potential disease processes in the breasts, the nurse develops educational programs focusing on:

breast awareness

During a routine assessment, a client reports to the nurse a new lump in her right breast and occasional nipple pain. The client has a family history of breast cancer. The nurse will anticipate preparing the client for which procedure first?

breast exam

How can breast cancer prevention programs best serve at-risk women from lower socioeconomic backgrounds?

develop screenings and educational programs

While interviewing a woman before her yearly examination, the nurse learns that she stopped breastfeeding over a year ago but occasionally has pain on one side behind her left nipple not related to her period. Upon examination, the nurse does not palpate any lumps but finds the left nipple retracted with a greenish discharge. What would the nurse first suspect?

duct ectasia

A woman is scheduled to undergo a modified radical mastectomy. Which information would the nurse include when describing this surgery to the client?

removal of breast tissue and axillary nodes

The nurse is developing a presentation for a local women's health center about breast cancer. Which of the following would the nurse include as being the most common type of breast cancer?

ductal carcinoma

A nurse is preparing a presentation for a local women's group about benign and malignant breast conditions. Which of the following would the nurse include as an example of a malignant breast condition?

ductal carcinoma in stu

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?

electric razor

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?

lymphedema

A client is considering breast augmentation. Which of the following would the nurse recommend to the client to ensure that there are no malignancies?

mammogram

A patient is having a fine-needle biopsy (FNB) for a mass in the left breast. When the needle is inserted and the mass is no longer palpable, what does the nurse know has most likely occurred?

mass was probably cystic and ruptured

A 45-year-old woman has a family history of breast cancer. She herself was diagnosed with breast cancer 2 months ago. During a routine visit, the physician informs her that she has to undergo radiation as soon as possible to avoid spreading of the cancer. Which symptom would prompt radiation therapy?

massive swelling in her arm

Mammography is recommended for a client diagnosed with intraductal papilloma. Which factor should the nurse ensure when preparing the client for a mammography?

no deo applied

Which are modifiable risk factors for breast cancer? Select all that apply.

obesity smoking alcohol consumption duration of breastfeeding sedentary lifestyle

A client with breast cancer is receiving chemotherapy as part of the treatment plan. The client develops neutropenia and is scheduled to receive pegfilgrastim (Neulasta). The nurse would expect this drug to be given at which time?

once. 24 hrs after chemo

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 upper outer quadrant.

A 45-year-old female client tells the nurse she has a dimpling of the right breast that has occurred in the past 2 weeks. What action will the nurse take next?

perform exam of both breasts

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?

recurrence within 2 years

On discharge, a client who underwent left modified radical mastectomy expresses relief that "the cancer" has been treated. When discussing this issue with the client, the nurse should stress that she:

should continue to perform breast self-examination on her right breast.

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

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?

timing of symptoms related to period timing

A 38-year-old female client has to undergo lymph node surgery in conjunction with mastectomy. The client is likely to experience lymphedema due to the surgery. Postoperatively, which factors will make the client more susceptible to lymphedema? Select all that apply.

using the affected arm for drawing blood or measuring blood pressure engaging in activities like gardening without using gloves not wearing a well-fitted compression sleeve

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?

vitals and o2 sat