NURC 324 Ch. 56 Sherpath

Which response would the nurse provide when the patient scheduled for breast augmentation asks the nurse what to expect during and after the procedure?

"A drain will remain in place that will be removed when drainage is less than 20 mL a day."

Which statement is important for the nurse to include when teaching a patient about brachytherapy for breast cancer?

"A lumpectomy procedure will be performed before you get radiation."

When caring for a patient scheduled for a sentinel lymph node biopsy (SLNB), which patient statement indicates an understanding of the procedure?

"A small incision will be made in my armpit during this procedure."

When teaching a middle-aged patient about screening for early detection of breast cancer, which statement requires clarification by the nurse?

"BSE is a reliable way to detect breast cancer early."

Which statement would the nurse include when discussing the risk factors for breast cancer in men?

"Breast cancer development is linked to estrogen exposure."

Which statement would the nurse provide when asked by a patient about ways to decrease their risk of developing breast cancer?

"Decreasing fat intake in your diet is an excellent way to decrease breast cancer risk."

Which response would the nurse provide when caring for a patient who was recently diagnosed with early-stage resectable breast cancer and tells the nurse, "I do not want to have my entire breast removed"?

"Have you discussed your treatment options with your health care provider?"

Which patient statement would indicate that they should obtain genetic testing for BRCA and other gene mutations present in breast cancer? Select all that apply. One, some, or all responses may be correct.

"I am recently in remission from a second experience with breast cancer." "My mother died from ovarian cancer several years ago." "I am adopted so I am not sure if anyone in my family had cancer."

Which patient statement would cause the nurse to question the scheduled lumpectomy procedure?

"I should let you know I had radiation a few months ago."

Which patient statement would indicate to the nurse that the patient is having cyclic mastalgia?

"I tend to have breast pain during the last week of each month."

Which statement by a patient indicates a risk factor for breast cancer? Select all that apply. One, some, or all responses may be correct.

"I was 11 when I got my first period." "I work as a nurse and alternate between day and night shift."

Which patient statement indicates an understanding of the fine-needle aspiration (FNA) biopsy procedure?

"I will be given anesthesia in my breast tissue before the procedure."

Which information would the nurse include in the postoperative teaching for a patient who had a mastectomy?

"It is important that you actively participate in arm and shoulder exercises after a mastectomy."

Which statement would the nurse include in the patient teaching about breast cancer screening guidelines for males?

"It is important that you begin screening for prostate cancer if you are at high risk for breast cancer."

Which patient statement indicates an understanding of their diagnosis of senescent gynecomastia?

"It is likely that this problem will clear up on its own in a year or so."

Which statement would the nurse provide to a patient recently diagnosed with breast cancer and who asks what is meant by a triple-negative breast cancer finding?

"It means that the cancer was tested for receptors to estrogen, progesterone, and HER-2. A negative finding will make the cancer harder to treat."

Which statement would the nurse include in the patient teaching about mastitis?

"It might be helpful for you to use a nipple shield when breastfeeding to ease the pain."

Which statement would the nurse include when teaching a group of women about the incidence of breast cancer?

"Mortality rates of breast cancer are lowest in Hispanic and Asian women."

Which patient statement indicates an understanding of the diagnosis of a breast cyst?

"My cyst may go away and then come back."

Which patient statement indicates an understanding of the modified radical mastectomy?

"My entire breast will be removed, but the pectoralis muscle will stay."

Which patient statement indicates an understanding of recommended screening guidelines for women at average risk for breast cancer?

"Once I turn 55, I can switch to every other year screenings if I want to."

Which statement would the nurse include when teaching a patient who is getting ready to undergo radiation therapy for breast cancer?

"Radiation is usually given 5 days a week for under 2 months."

Which statement would the nurse include when teaching a middle-aged patient who is preparing to begin breast cancer treatment with tamoxifen?

"Report any changes in your vision immediately."

Which response would the nurse give when caring for a patient who reports they were diagnosed with stage IIIA breast cancer but they do not understand what that means?

"Several of your lymph nodes are cancerous."

Which statement would the nurse use when caring for a patient who asks what the BRCA1 gene is?

"The BRCA1 gene is normally a tumor suppressor gene."

Which information would the nurse include in the teaching for a patient interested in learning more about tissue expansion after mastectomy?

"The expander is placed under the pectoralis muscle and inflated with saline weekly."

Which statement by the nurse indicates an understanding of chemotherapy for the treatment of breast cancer?

"The patient will most likely receive chemotherapy over the course of several months."

Which statement would the nurse use to respond to a patient with breast cancer who asks the nurse what is meant by in situ?

"The term in situ means that the cancer is currently noninvasive, within the duct."

Which statement by the nurse should be included in the teaching about receptor-negative breast tumor?

"There usually are high amounts of DNA content in them."

Which patient statement would the nurse include in the teaching for a patient scheduled for a nipple-areola reconstruction procedure?

"Your areola will be tattooed with permanent dye to make it look more natural."

Which patient has the highest risk for developing breast cancer?

72-year-old with a family history of breast cancer

Which statement describes the risk factors for breast cancer?

Alcohol use can increase the risk of developing breast cancer.

After determining cancer is not present, which strategy may provide relief for a patient who presents with mastalgia? Select all that apply. One, some, or all responses may be correct.

Application of ice Nonsteroidal anti-inflammatory drugs (NSAIDs) Reducing caffeine intake Wearing a supportive bra during the day

Which class of medication used in the treatment of breast cancer would the nurse avoid in the premenopausal woman?

Aromatase inhibitors

Which intervention would the nurse use to decrease the lymphedema in a patient with breast cancer who just underwent an axillary lymph node dissection?

Assess blood pressure only on unaffected arm.

Which medication regimen would the nurse anticipate being prescribed for a patient with locally advanced triple-negative breast cancer with a PD-L1 positive biomarker?

Atezolizumab (Tecentriq)

Which test would the nurse anticipate to be used during staging of a breast cancer diagnosis? Select all that apply. One, some, or all responses may be correct.

Computed tomography (CT) scan of chest Liver function tests Magnetic resonance imaging (MRI)

Which clinical manifestation would the nurse anticipate for a patient with fibrocystic breast changes?

Cysts that change size quickly

Which initial diagnostic test for breast cancer would the nurse anticipate for a 23-year-old patient with large, dense breasts?

Digital mammography

Which primary characteristic of nipple discharge reported by the patient would alert the nurse to instruct the patient to contact their provider?

Discharge from only one nipple

Which condition does the nurse suspect in the patient who reports nipple fixation and gray discharge?

Ductal ectasia

Which factor may influence why a woman would delay screening or treatment for breast cancer? Select all that apply. One, some, or all responses may be correct.

Fear Lack of health care Stigma of diagnosis Mistrust of health care system Acceptance of disease as fate

Which term would the nurse observe written in the electronic medical record for a male patient who reports a new onset of breast enlargement?

Gynecomastia

Match the benign breast problem to its description.

Hard, tender, mobile mass with irregular borders, usually from trauma Fat necrosis Masses often cyclic in occurrence and are movable and soft Fibrocystic changes Most often caused by Staphylococcus aureus Lactational mastitis Nipple fixation with thick, gray nipple discharge Ductal ectasia

Which tumor characteristic indicates a poor prognosis?

High cell-proliferative indices

Which side effect would the nurse warn a patient with breast cancer about who is newly prescribed trastuzumab (Herceptin)?

Infusion reactions

Which term would the nurse likely use to describe breast cancer that has spread to other tissues beyond the breast and involves the milk ducts?

Invasive ductal carcinoma

Match the type of breast cancer with its description.

Involves itching, burning, and bloody nipple discharge Paget disease Breast is warm and looks like an orange peel Inflammatory breast cancer Rare growth in stroma of the breast Phyllodes tumor

Which finding indicates further evaluation for breast cancer is needed after performing a breast examination on an older adult patient?

Irregular, nonmobile lump with induration

Which diagnostic test would the nurse anticipate for a patient with suspected breast cancer? Select all that apply. One, some, or all responses may be correct.

Magnetic resonance imaging (MRI) Ultrasound Mammogram

Which risk factor would the nurse include while volunteering at a community center to teach women about breast cancer? Select all that apply. One, some, or all responses may be correct.

Nulliparity Smoking Early menarche Late menopause Personal history of colon cancer

Which condition does the nurse suspect for a patient who reports rapid growth of a breast tumor in the connective tissue over the last 3 months?

Phyllodes tumor

Which condition does the nurse know is often associated with gynecomastia?

Pituitary adenomas

Match the surgical procedure with its description.

Resection of tissue from the upper and lower quadrants of the breast Breast reduction Implant is placed in a pocket between the breast and fascia Breast augmentation Extra breast skin is removed and the tissue is reshaped to raise the breast Breast lift

Which patient characteristic would indicate that the patient should undergo BRCA genetic testing?

Sibling diagnosed with pancreatic cancer

Match the surgical procedure for breast cancer with its description.

Skin and fat transferred from abdomen to chest DIEP flap Removal of breast Mastectomy Excision of tumor at margins Lumpectomy Saline injected into reservoir over weeks to months Tissue expansion

Which assessment finding would the nurse anticipate for a patient diagnosed with intraductal papilloma?

Spontaneous bloody nipple discharge

Which assessment finding would the nurse anticipate in a patient with intraductal papilloma?

Spontaneous bloody nipple discharge

Which stage of breast cancer is a patient in whose tumor is less than 2 cm in size and has not invaded any lymph nodes?

Stage IA

Match the biopsy technique with its description.

Tissue is removed in the operating room under anesthesia. Excisional biopsy A hollow needled is used to remove several small samples of breast tissue. Core biopsy Needle is passed 3-4 times into breasts to get tissue samples. Fine-needle aspiration (FNA) biopsy Needle is inserted into breast one time, using suction to remove sample. Vacuum-assisted biopsy

Which assessment finding would the nurse anticipate for a patient diagnosed with post-breast therapy pain syndrome (PBTPS)?

Unbearable itching

Which patient action would the nurse correct when caring for a patient who recently underwent right mastectomy and lymph node removal? Select all that apply. One, some, or all responses may be correct.

Using only water to wash the right arm to help prevent skin irritation Allowing a nurse to administer an injection in the right arm

Which assessment finding would the nurse anticipate for a patient diagnosed with breast cancer that has metastasized to the liver? Select all that apply. One, some, or all responses may be correct.

Weight loss Peripheral edema Abdominal distension

Which medication would the nurse expect to most likely administer to a patient with HER-2-positive breast cancer?

Lapatinib (Tykerb)

Which type of flap used in breast reconstruction surgery involves taking a flap of skin and muscle from the patient's back to replace tissue removed from a mastectomy?

Latissimus dorsi flap

Which assessment finding may indicate that a patient's breast cancer has metastasized?

Lower extremity pitting edema

Which information would be important for the nurse to include when teaching an older female patient about expected breast changes with aging?

Mammary glands become atrophied

Which assessment is most important for the nurse to perform when caring for a patient with breast cancer who is receiving high-dose doxorubicin (Adriamycin)?

Monitor cardiac rhythm.

Which assessment finding would the nurse anticipate for a patient diagnosed with ductal ectasia?

Nipple retraction

Which sign would the nurse include to help the patient detect a potentially cancerous lump in the breast? Select all that apply. One, some, or all responses may be correct.

Nodule in the upper outer quadrant Presence of a painless, nonmobile lump Puckering or induration of the breast tissue