Women's Health - Chapter 6 - Prep U

A nurse is providing education to a woman about screening for breast cancer. The woman has no symptoms and no family history of breast cancer. Which recommendation would the nurse make based on the guidelines from the American Cancer Society?

40

At what age should a woman with no risk factors begin mammography screening for breast cancer?

40

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."

A woman diagnosed with breast cancer is to undergo a lumpectomy followed by radiation therapy. When reviewing the treatment plan with the client, the nurse determines that the woman has understood the information based on which client statement?

"After they remove the tumor and some of the normal tissue, I'll start radiation in about 2 to 4 weeks."

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."

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."

After teaching a woman about breast self-examination, the nurse understands that the teaching was successful when the woman makes which statement?

"I'll do the check about a week after my period."

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

"Wash your hands thoroughly, and let your breasts dry after each feeding."

How should the nurse instruct a woman to perform a breast self-examination? Select all that apply.

-"You will need to visually inspect both breasts and palpate them for changes." -"It doesn't matter which pattern you use to palpate the breast as long as you cover the entire breast." -"Look for any changes in shape, size, contour, or symmetry between the breasts, as well as any skin discoloration."

When preparing for a class on breast cancer, the nurse should explain which nonmodifiable risk factors? Select all that apply.

-BRCA1 gene -menarche at age 11 -being a 52-year-old female

A nurse practitioner is performing a clinical breast exam and notes a mass. Which findings would lead the nurse practitioner to suspect that the mass is benign? Select all that apply.

-absence of nipple retraction -clearly delineated margins -firmness on palpation

A nurse is providing postoperative care to a client who has had surgery to remove a malignant tumor from her breast. The nurse encourages the client to cough and deep breathe based on the understanding that this activity accomplishes which actions? Select all that apply.

-expands collapsed alveoli -promotes faster clearance of inhaled anesthetics -prevents postoperative atelectasis

A nurse is assigned to educate a group of adolescent women on cancer awareness. Which risk factor(s) for breast cancer is modifiable? Select all that apply.

-failing to breastfeed for up to a year after pregnancy -not having children until after age 30 -postmenopausal use of estrogen and progestins

A client is diagnosed with peripheral nonlactating breast abscess. Which findings would the nurse assess? Select all that apply.

-greenish nipple discharge -nipple retraction -noncyclical pain

A nurse is screening women for risk factors for breast cancer. Which factors are considered a risk for this disorder? Select all that apply.

-using female hormone therapy -cystic breast disorders -previous cancer

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

Apply warm compresses to the affected breast.

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

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

Client has not applied deodorant on the day of testing.

A client reports lumpy, tender breasts, particularly during the week before menses. She reports pain that often dissipates after the onset of menses. The nurse suspects the client has fibrocystic breast changes. Which should the nurse do next?

Perform a breast examination.

A client has undergone a mastectomy for breast cancer. Which instruction should the nurse include in the postoperative client teaching plan?

Elevate the affected arm on a pillow.

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 an examination of both of the client's breasts.

A nurse is performing an assessment on a 25-year-old white female client who is obese and is trying to conceive. The client presents to the clinic concerned about a newly found lump in their breast. The nurse explains to the client the difference between benign nodules and breast cancer.

The nurse determines client understanding of the difference between a lump that is a benign nodule and a lump that is breast cancer when the client states "soft and movable is a sign of a benign nodule and hard and fixed is a sign of breast cancer.

During a follow-up visit, a female client who underwent a mastectomy asks the nurse if she can work in her backyard or at least do some household work. Which suggestion would be most appropriate?

Wear gloves and protective clothing to avoid any injuries.

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

In the United States, what type of cancer accounts for one-third of cancer diagnoses and is the most common cancer in women?

breast cancer

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 examination

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 sign?

breast symmetry

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

What is the most common breast mass in women?

fibroadenoma

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

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

mammogram

During a routine physical examination, a firm mass is palpated in the right breast of a 35-year-old woman. Which finding or client history would suggest cancer of the breast as opposed to fibrocystic disease?

increased vascularity of the breast

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 complication?

lymphedema

A nurse is preparing a presentation for a health fair about preventing breast cancer. Which suggestion would the nurse include?

maintaining an ideal weight

The nurse is preparing a client for breast biopsy of a lump. The nurse explains that a needle with a cutting edge will be inserted into a lump and rotated to remove a core sample. What type of breast biopsy is this client undergoing?

needle biopsy

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 giving an educational event for a local women's group on self-examination of the breast. The nurse tells the women's group to raise their arms and inspect their breasts in a mirror. A member of the women's group asks the nurse why she needs to do this. What is the nurse's best response?

to see dimpling

A nurse is providing care to a client diagnosed with stage II breast cancer. Which finding would the nurse interpret as characteristic of this stage?

tumor that is about 1.5 inches (3.8 centimeters) in diameter with positive lymph nodes

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