51 Breast 2
The outpatient clinic receives telephone calls from four patients. Which patient should the nurse call back first?
50-year-old with stage 2 breast cancer who is receiving doxorubicin (Adriamycin) and has ankle swelling and fatigue
The nurse is admitting a patient scheduled this morning for lumpectomy and axillary lymph node dissection. Which action should the nurse take first?
Ask the patient to describe what she knows about the surgery.
During a well woman physical exam, a 43-year-old patient asks about her risk for breast cancer. Which question is most pertinent for the nurse to ask?
At what age did you start having menstrual periods?
Which assessment finding in a 36-year-old patient is most indicative of a need for further evaluation?
A breast nodule that is 1 cm in size, nontender, and fixed
Which information will the nurse include in patient teaching for a 36-year-old patient who is scheduled for stereotactic core biopsy of the breast?
A local anesthetic will be given before the biopsy specimen is obtained
A student nurse prepares a list of teaching topics for a patient with a new diagnosis of breast cancer. Which item should the charge nurse suggest that the student nurse omit from the teaching topic list about breast cancer diagnostic testing
CA 15-3 level testing
Which information should the nurse include in teaching a patient who is scheduled for external beam radiation to the breast?
Careful skin care in the radiated area will be necessary
Triple negative breast cancer
dont express ER, PR, or Her2, very hard to treat (No estrogen or progesterone receptors, or Her2)
The nurse teaching a young womens community service group about breast self-examination (BSE) will include that
performing BSE after the menstrual period is more comfortable.
The nurse will anticipate teaching a 56-year-old patient who is diagnosed with lobular carcinoma in situ (LCIS) about
tamoxifen (Nolvadex)
After a 48-year-old patient has had a modified radical mastectomy, the pathology report identifies the tumor as an estrogen-receptor positive adenocarcinoma. The nurse will plan to teach the patient about
tamoxifen (Nolvadex).
A 51-year-old patient with a small immobile breast lump is considering having a fine-needle aspiration (FNA) biopsy. The nurse explains that an advantage to this procedure is that
FNA is done in the outpatient clinic and results are available in 1 to 2 days
Which patient statement indicates that the nurses teaching about tamoxifen (Nolvadex) has been effective
I will call if I have any eye problems
A patient newly diagnosed with stage I breast cancer is discussing treatment options with the nurse. Which statement by the patient indicates that additional teaching may be needed?
Mastectomy is the best choice to decrease the chance of cancer recurrence.
The nurse notes bilateral enlargement of the breasts during examination of a 62-year-old man. Which action should the nurse take first?
Question the patient about medications being currently used
The nurse will teach a patient with metastatic breast cancer who has a new prescription for trastuzumab (Herceptin) that
the patient should call if she notices ankle swelling
When the nurse is working in the womens health care clinic, which action is appropriate to take?
Teach a 28-year-old with a BRCA-1 mutation about magnetic resonance imaging (MRI)
he nurse is caring for a 52-year-old patient with breast cancer who is receiving chemotherapy with doxorubicin (Adriamycin) and cyclophosphamide (Cytoxan). Which assessment finding is most important to communicate to the health care provider
The patients apical pulse is irregular.
A 36-year-old who has a diagnosis of fibrocystic breast changes calls the nurse in the clinic with symptoms. Which is most important to report to the health care provider?
There is an area on the breast that is hot, pink, and tender to touch
