Breast Disorders Medical-Surgical Nursing

1. The nurse teaching a young women’s community service group about breast self-examination (BSE) will include that

a.

BSE will reduce the risk   of dying from breast cancer.

b.

BSE should be done daily   while taking a bath or shower.

c.

annual mammograms should   be scheduled in addition to BSE.

d.

performing BSE after the   menstrual period is more comfortable.

ANS: D

TOP: Nursing Process: Implementation MSC: NCLEX: Health Promotion and Maintenance

2. During a well-woman physical examination, a 43-yr-old patient asks about her risk for breast cancer. Which question is most pertinent for the nurse to ask?

a.

“Do you currently smoke   tobacco?”

b.

“Have you ever had a   breast injury?”

c.

“At what age did you start   having menstrual periods?”

d.

“Is there a family history   of fibrocystic breast changes?”

3. A 51-yr-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

a.

FNA is done in the   outpatient clinic, and results are available in 1 to 2 days.

b.

only a small incision is   needed, resulting in minimal breast pain and scarring.

c.

if the biopsy results are   negative, no further diagnostic testing will be needed.

d.

FNA is guided by a   mammogram, ensuring that cells are taken from the lesion.

TOP: Nursing Process: Implementation MSC: NCLEX: Physiological Integrity

4. Which assessment finding in a 36-yr-old patient is most indicative of a need for further evaluation?

a.

Bilateral breast nodules   that are tender with palpation

b.

A breast nodule that is 1   cm in size, nontender, and fixed

c.

A breast lump that   increases in size before the menstrual period

d.

A breast lump that is   small, mobile, with a rubbery consistency

TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity

5. A 53-yr-old woman who is experiencing menopause is discussing the use of hormone therapy (HT) with the nurse.

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