CH. 56

Which intervention would the nurse include in the plan of care for a young woman with preductal mastitis? a. Administer antibiotics as ordered. b. Teach the woman about a breast biopsy. c. Counsel her on the need for genetic breast cancer screening. d. Explain the role of radiation therapy as a treatment alternative.

a. Administer antibiotics as ordered.

The nurse teaches a patient starting immune based therapy for breast cancer that this treatment works by a. blocking HER-2 receptors. b. increasing estrogen production. c. increasing the number of macrophages. d. preventing the production of aromatase.

a. blocking HER-2 receptors.

A patient with breast cancer has a lumpectomy with sentinel lymph node biopsy that is positive for cancer. You explain that, of the other tests done to determine the risk for cancer recurrence or spread, the results that support the more favorable prognosis are (select all that apply) a. well-differentiated tumor. b. estrogen receptor-positive tumor. c. overexpression of HER-2 cell marker. d. involvement of 2 to 4 axillary nodes. e. aneuploidy status from cell proliferation studies.

a. well-differentiated tumor. b. estrogen receptor-positive tumor.

Which are considered risk factors for breast cancer in women? (select all that apply) a. Having menarche at age 17 b. Being a woman over age 60 c. Previous history of ovarian cancer d. Having a brother with breast cancer e. Stopping oral contraceptives 15 years ago

b. Being a woman over age 60 c. Previous history of ovarian cancer d. Having a brother with breast cancer

A patient with breast cancer who underwent mastectomy is asking about reconstructive surgery. Which information would the nurse provide? a. It can restore lactation. b. Nipple sensation may not return. c. The triceps muscle is used as a tissue flap for breast reconstruction. d. Patients must wait 3 months after mastectomy before reconstruction can begin.

b. Nipple sensation may not return.

A nurse planning a community program on breast cancer screening guideline would include which recommendation about screening in average risk women? a. Women over age 55 should discontinue screening. b. Women 40 to 45 should receive a clinical breast exam. c. Women aged 45 to 54 years should get annual mammograms. d. Women should have the option of beginning annual screening at age 35.

c. Women aged 45 to 54 years should get annual mammograms.

A priority in providing care for a patient who underwent mastectomy includes a. teaching the patient to shower with cool water. b. measuring blood pressures in both upper extremities. c. instructing the patient to limit movement to promote healing. d. encouraging exercises to restore arm function on the affected side.

d. encouraging exercises to restore arm function on the affected side.