LS1 Week 8 Chapter 58 Assessment and Management of Patients with Breast Disorders

Which is inconsistent a risk factor for breast cancer? a. Family hx of breast cancer b. Multiparity c. Late menopause d. Older age

b. Multiparity

Which is an early sign of Paget disease? a. Thickening of areola b. Nipple erythema c. Fever d. Increased pulse

b. Nipple erythema

The nurse teaches a premenopausal femal client to perform breast self examination (BSE) at which interval? a. Any time during the mouth b. On day 2 to day 4, counting the first day of menses as day 1 c. With the onset of menstruation d. On day 5 to day 7, counting the first day of menses as day 1

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

Which group of clients is at high risk of developing breast cancer? a. Women who have ses with multiple partners b. Women who do not consume alcohol c. Women who are obese d. Women who consume a low fat low diet

Women who are obese

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? a. Modified radical mastectomy b. Radical mastectomy c. Segmental mastectomy d. Total masecteomy

a. Modified radical mastectomy

A 33 year old female client is recovering from a modified radical mastectomy with immediate reconstruction. This is the client's fourth day postoperatively. Her vital signs are temperature 99 P 82, R 18 and blood pressure 152/90. She continues to complain of considerable pain rating of 9 on a scale of 1 to 10, with 10 being the worst possible pain. The client was discharged home with a prescription for oxydone and acetaminophen and has been taking the drugs as prescribed. Which assessment finding would cause the nurse to phone the physician? a. A well defined oval area near the incision site b Itching and slight erytherma at the incision site c. Small amount of serous drainage at the incision site d. White blood count of 7,000

a. A well defined oval area near the incision site

Which nursing intervention(s) are related to a client with breast cancer? Select all that apply a. Client education and preparation for treatment b Prevention of social isolation c. Promotion of positive body image d. Management of complication e. Relieving fear

a. Client education and preparation for tx c. Promotion of positive body image d. Management of complication e. Relieving fear

When a female client demonstrates a wartlike growth near the nipple, causing bloody nipple discharge, the client is exhibiting signs of which disease process/ a. Intraductal papilloma b. paget disease c. Fibroadenoma d. Acute mastitis

a. Intraductal papilloma

Which optionis available to women with an increased risk of developin breast cancer? a. Long term follow up b. Radiation prevention c. Unilateral prophylactic mastectomy d. Chemotherapy

a. Long term follow up

A 45 year old woman has a family hx 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 possibel to avoid spreading of the cancer, which sx would prompt radiation therapy? a. Massive swelling in her arm b. Nipple retraction c. Frequent bloody discharge from the breast d. Coarse skin around her breast

a. Massive swelling in her arm

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

a. Mother affected by cancer before 60 years of age

Which type of biopsy is used for nonpalpable lesion found on mammography? a. Sterotactic b. Incisional c. Tru-Cut core d. Excisional

a. Stereostacti

According to Tanner, which occurs in stage 3 of breast development? a. The areola (a darker tissue ring around the nipple) develops b. The areola and nipple for a secondary mound on top of breast tissue. c. Breast budding begins d. The breast develops into a single contour

a. The areola (a darker tissue ring around the nipple) develops

Sentinel lymph node mapping is done to validate the lack of lymph node metastasis. Which complication does this technique help avoid a. Mastalgia b. Lymphedema c. Breast cancer d. Fibroadenoma

b. Lymphedema

A typical hyperplasia increases a woman's risk for breast cancer about how many times compared with that of the general population? a. 6 b. 4 c. 8 d. 2

b. 4

Which primary prevention modality aims to prevent the disease before it starts? a. Prophylactic mastectomy b. Chemoprevention c. Long term surveillance d. Radiation therapy

b. Chemoprevention

Which is a characteristic of a breast mass? a. Occurs as disseminated masses b. Firm, hard, embedded in surrounding tissue c. Symmetrical mass d. Tender upon palpation

b. Firm, hard, embedded in surrounding tissue

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? a. No maternal family hx of breast cancer b. Recurrence within 2 years of the original diagnosis c. Previous therapeutic response to chemotherapy d. Aggressive tx, including surgery, radiaition, and hormonal therapy

b. Recurrence within 2 years of the orginal diagnosis

Which is one of the most important prognostic factors in breast cancer? a. Obesity b. Status of lymph nodes c. Age of the client d. Family hx

b. Status of lymph nodes

In which stage of breast development does breast budding occur? a. 3 b. 5 c. 2 d. 4 e. 1

c. 2

Which is part of the education for a client undergoing a stereotactic core biopsy? a. MRIs are contraindicated. b. The client lies in a supine position c. A small titanium clip is placed at the biopsy site d. General anesthesia is used

c. A small titanium clip is placed at the biopsy site

Which is considered a diagnostic tool for breast cancer? a. Clinical breast exam b. Mammography c. Breast biopsy d. Ultrasonography

c. Breast biopsy

The nurse working on a cancer tx floor assesses her assigned clients. It is most important for the nurse to report which assessment finding? a. Immediate postoperative report of throat tenderness b. Small amount of bloody drainage on surgical dressing 12 hours postopertative c. Coolness and motting of a newly constructed breast site d. Temperature 99.2, P 72, R 18 BP 130.80

c. Coolness and motting of a newly constructed breast site

Which type of biopsy would the nurse tell the client is a usual procedure for any palpable breast mass found on mammography? a. Stereotactic b. Incisional c. Excisional d. Tru Cut core

c. Excisional

A family client is receiving palitaxel as part of her treatment regimen for a large, node negative cancer. The nurse recognizes a possible side effect of paclitaxel when the client is diagnosed with which condition? a. Heart muscle damage b. Nausea and vomiting c. Joint pain d. Bone marrow suppression

c. Joint pain

Which term refers to breast pain? a. Mastitis b. Gynecomastia c. Mastalgia d. Mammoplasty

c. Mastalgi

The client is receiving adjuvant chemotherapy for breast cancer. Which is most likely her node status and tumor size? a. Node negative, tumor size 0.3 cm b. Node negative, tumor size 1.2 cm c. Node negative, tumor size 0.5 cm d. Node negative, tumor size 0.2 cm

c. Paget disease

Which is an inaccurate manifestation of a fibroadenoma? a. Biopsy is not indicated for definitive diagnosis b. Are not round or lobular c. Premenstrual changes do not occur d. Usually tender

c. Premenstrual changes do not occur

A client with stage II breast cancer has received her treatment plan that includes radiation therapy. The nurse that the client understands radiation tx when she makes which statement? a."I will receive my first radiation treatment before I leave the hospital" b. "Radiation and a modified radical mastectomy will cure my breast cancer" c. Radiation therapy will reduce the chance of breast cancer recurrence" d. "I will plan on radiaton treatments once a week for 5 weeks"

c. Radiation therapy will reduce the chance of breast cancer recurrence"

What is the most common location for breast cancer? a. Upper inner quadrant of the breast b. Nipple areola complex c. Upper outer quadrant of the breast d. Lower half of the breast

c. Upper outer quadrant of the breast

Which psychosocial nursing are common in the client with breast cancer? Select all that apply a. Empowerment b. Hopelessness c. Spiritual distress d. Body image disturbance e. Fear

d. Body image disturbance

A 33 year old female client with three children has had a follow up mammogram after an abnormal BSE. Mammogram findings reveal inicidental microsciopic 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 modiality to treat this client? a. Long term surveillance b. Radiation therapy c. Proplylactic d. Cehmoprevention

d. Chemoprevention

Which is an early sign of Paget disease? a. Thickening of areola b. Increased pulse c. Fever d. Nipple erythema

d. Nipple erythema

A 49 year old woman reports that her last known menstrual cycle occurred over 1 year ago. Her records indicate gravida 0, para 0. Upon further review of the chart, the nurse notes that the client has a positive maternal history of hypertension. Moreover, the client has a positive paternal history of diabetes. With no additional significant history noted, which of the nurse's findings is consistent as a risk factor for breast cancer? a. Increased age b. Late menopause c. Family hx of breast cancer d. Nulliparity

d. Nulliparity