PrepU ch 6

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

40

What is the most common type of breast cancer, accounting for approximately 85% of cases?

invasive ductal carcinoma

The nurse determines that a woman has implemented prescribed therapy for her fibrocystic breast disease when the client reports that she has eliminated which from her lifestyle?

caffeine

A 27-year-old lactating client presents with the report of a solid, painless lump in her left breast. On examination, the nurse notes that the lump is mobile and slightly tender to pressure. The nurse suspects this is:

a fibroadenoma

Which factors contribute to the development of breast cancer? Select all that apply.

aging, hormonal factors, high breast density, family history

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?

annual mammogram beginning at age 40

A nurse is conducting a presentation on breast cancer for a local women's group and explaining the possible risk factors associated with its development. The nurse determines that the group has understood the information when they identify which factor as increasing a woman's risk for breast cancer?

early menarche

A woman's breast examination reveals a small mass. Which characteristics would lead the nurse to suspect that the mass is malignant? Select all that apply.

hard on palpation; skin dimpling; painless

The nurse is teaching a client with mastitis about care measures. Which client statement indicates effective teaching?

i can use warm soaks to my breasts to relieve the discomfort

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 breasts

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 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

Which are modifiable risk factors for breast cancer? Select all that apply.

obesity; smoking; alcohol consumption; duration of breastfeeding; sedentary lifestyle

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 breast tumor is most likely found in what part of the breast?

upper outer quadrant

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; look for any changed in shape, size, contour, or symmetry between the breasts, as well as any skin discoloration; it doesn't matter which pattern you use to palpate the breast as long as you cover the entire breast