OB Exam 1 CH. 6 Study Guide

A 42-year-old woman is scheduled for a mammogram. Which statement would the nurse include when teaching the woman about the procedure?

"Each breast will be firmly compressed between two plates."

A client is being discharged after having a right-sided modified radical mastectomy. After teaching the client about ways to minimize lymphedema, the nurse determines that the teaching was successful based on which client statement?

"I need to avoid wearing tops that have elastic in the sleeves."

A client is diagnosed with fibrocystic breast disease. After teaching the client about this condition, the nurse determines that the teaching was successful based on which client statement?

"I need to cut out drinking coffee like I'm used to doing."

After teaching a woman how to perform breast self-examination, which statement would indicate that the nurse's instructions were successful?

"I should use the fingerpads of my three middle fingers to apply pressure to my breast."

A nurse is conducting a class on breast cancer prevention. Which statement would the nurse include in the discussion?

"If lump is palpable, it has been there for some time."

During a wellness visit to the clinic, a 30-year-old woman asks the nurse if there is anything she can do to reduce her risk for developing breast cancer. Which suggestions would be appropriate? Select all that apply.

- "Keep your weight gain under 11 pounds (5 kilograms)." - "Eat at least seven portions of complex carbohydrates daily." - "Limit your intake of refined sugar products."

A woman comes to the clinic and asks the nurse about when she should have her first mammogram. The woman is at low risk and has no family history of breast cancer. Using the recommendations of the American Cancer Society, the nurse would suggest the woman have her first mammogram at which age?

40 years

A woman who has undergone a right-sided modified-radical mastectomy returns from surgery. Which nursing intervention would be most appropriate for the nurse to include in the client's plan of care at this time?

Encourage her to turn, cough, and deep breathe at frequent intervals

A woman diagnosed with breast cancer is to receive trastuzumab. What information would the nurse incorporate into the explanation about how this drug works?

It blocks the effect of the HER-2/neu protein inhibiting the growth of cancer cells

A laboratory technician arrives to draw blood for a complete blood count (CBC) for a client who had a left-sided mastectomy 8 hours ago. The client has an intravenous line with fluid infusing in her right antecubital space. The nurse enters the room and sees the technician beginning to place a tourniquet on the client's right arm. Which response by the nurse would be most appropriate?

Stop the technician immediately.

A laboratory technician arrives to draw blood for a complete blood count (CBC) for a client who had a right-sided mastectomy 8 hours ago. The client has an intravenous line with fluid infusing in her left antecubital space. To obtain the blood specimen, the technician places a tourniquet on the client's right arm. Which action by the nurse would be most appropriate?

Suggest a finger stick be done on one of the client's left fingers.

A breast biopsy indicates the presence of malignant cells, and the client is scheduled for a mastectomy. Which nursing diagnosis would the nurse most likely include in the client's preoperative plan of care as the priority?

disturbed body image

A woman comes to the clinic reporting a greenish-colored nipple discharge On examination, the area below the areola is red and slightly swollen, with tortuous tubular swelling. The nurse interprets these findings as suggestive of which disorder?

duct ectasia

A woman comes to the clinic. Assessment reveals a firm, rubbery, movable mass in the upper outer quadrant of the left breast. The edges of the mass are clearly delineated. The nurse interprets these findings as suggestive of which disorder?

fibroadenoma

A nurse is preparing a presentation for a group of community nurses about benign and malignant breast masses. The nurses demonstrate understanding when they identify which as an indication of a benign breast mass? Select all that apply.

firm consistency, absence of dimpling

The nurse is developing a plan of care for a woman with breast cancer who is scheduled to undergo breast-conserving surgery. The nurse interprets this as which procedure?

lump removal followed by radiation

During a clinical breast examination, the nurse palpates a well-defined, firm, mobile lump in a 60-year-old woman's left breast. The nurse notifies the primary care provider. What would the nurse anticipate the care provider to prescribe next?

mammogram

A woman with breast cancer is undergoing chemotherapy. Which side effect would the nurse interpret as being most serious?

myelosuppression

A nurse has completed the assessment of a client. The nurse suspects that the client may have a malignant breast mass based on which finding?

nipple retraction

A nurse is working with a woman who has been diagnosed with severe fibrocystic breast disease. After describing the medications that can be used as treatment, the nurse determines that additional teaching is needed when the client identifies which drug as being used?

penicillin

A woman who has undergone a right modified-radical mastectomy returns from surgery. The nurse would focus immediate interventions on which area as the priority?

respiratory function

A client with advanced breast cancer, who has had both chemotherapy and radiation therapy, is to start endocrine therapy. Which agent would the nurse expect the client to receive?

tamoxifen

A client with advanced breast cancer, who has had both chemotherapy and radiation therapy, is to start hormonal therapy using a selective estrogen receptor modulator (SERM). Which agent would the nurse expect the client to receive?

tamoxifen