gero-breast cancer
diagnosis of breast cancer
biopsy
A nurse is reviewing a postmenopausal client's history, which reveals that the client previously received hormonal therapy (HT) as treatment for osteoporosis. The nurse recognizes that HT increases the risk of which condition?
breast cancer
why are screening tools less effective in younger women
breasts are denser
what happens to breast tissue in older adults
-flattened -elongated -suspended loosely from chest wall -finer -more granular feel -atrophy (easier exam)
risk for lymphedema
-injury or infection -obesitu -presence of axillary disease -radiation tx
american cancer society recommends what
-screening mammogram for women ages 40 and older -clinical breast exam by doctor every 3 years at least for women 20-40 years
Tomosynthesis
3d image of breast
A 26-year-old woman whose sister recently had a lumpectomy for breast cancer calls the local women's health center for an appointment for a mammogram. What guidance should the nurse provide the client in preparation for the test
During the procedure, each breast will be compressed firmly between two plates
On the first day after a mastectomy, a nurse encourages the client to perform exercises such as flexion and extension of the fingers and pronation and supination of the hand. The client asks why she has to do these exercises. What is the best response by the nurse
They will help stimulate peripheral circulation.
The primary healthcare provider of a woman who had a mastectomy has arranged for a mastectomy peer support visit. What does the nurse identify as the primary reason for the referral
To prevent social isolation
lymphedema
abnormal accumulation of protein fluid in SQ tissue of affected limb
A client is scheduled for a modified radical mastectomy. What nursing intervention is most important in the client's preoperative plan of care
allowing her to express feelings about surgery
Post-op mastectomy care
assess for infection elevate arm for 30 min a day loose fitting clothing teach pos self image ROM exercises
ultrasound
clarify the mammogram for dense breast tissue
MRI
done on high risk women and if ultrasound is concerning
when should we not do breast self exam
during period could lead to false pos
when breast cancer is in younger women...
its more aggressive
mammogram
preclinical lesions, x-ray of tissue when something is too small to palpate
what puts pt more at risk for breast cancer?
prolonged hormonal stimulation -early menarch, late menopause, having children after 30 and no children at all
A 37-year-old client with a nontender palpable breast mass has an inconclusive mammogram. She is undergoing further diagnostic tests to determine whether the mass is malignant. What information should the nurse take into consideration before planning health teaching for this client?
results of biopsy are needed before specific therapy is selected
What is the most important information for the nurse to teach to a client who has had a total simple mastectomy before she leaves the hospital
why self exam of remaining breast tissue is so important