NUR2212 FINAL EXAM QUESTION BANK APPROVED EXAM QUESTIONS AND ANSWERS//Chapter 65 MS2 Nur2212 Wk 4 Review?’s: Concepts of Care for Patients with Breast
... [Show More] Disorders
The nurse is teaching a 45-year-old woman about her fibrocystic breast changes. Which statement by the client indicates a lack of understanding? This condition will become malignant over time."
Fibrocystic breast changes do not increase a woman's chance of developing breast cancer. Hormone-based drugs can be used in severe cases to suppress the over-secretion of estrogen. Serious adverse effects include thrombotic events and an increased risk for uterine cancer. Limiting caffeine intake may give relief for tender breasts. The fibrocystic changes to the breasts make it more difficult to examine the breasts because of fibrotic changes and lumps. The nurse is examining a woman’s breast and notes multiple small mobile lumps. Which question would be most appropriate for the nurse to ask? "Do the small lumps seem to change with your menstrual period?"
The most appropriate question would be one that relates to benign lesions that usually change in response to hormonal changes within a menstrual cycle. Reduction of caffeine in the diet has been shown to give relief in fibrocystic breast changes, but research has not found that it has a significant impact. Questions related to the client's last mammogram or breast cancer history are not related to the nurse's assessment. The nurse is working with a male client who has gynecomastia. What action by the nurse is most appropriate? Educate him on the side effects of tamoxifen.
Gynecomastia is enlarged breast tissue in men. It is from an enlarged ridge of glandular breast tissue and is benign. The client does not need to perform SBE nor will he undergo chemotherapy. Tamoxifen is one drug used to treat the condition, so the nurse would educate the client on the medication. Alcohol is not related.
Which finding in a female client by the nurse would receive the highest priority for further diagnostics? Nontender fixed mass in the upper outer quadrant of the breast
Malignant lesions are fixed, hard and irregularly shaped and this lesion would be the priority for further diagnostic study. The other lesions are benign breast disorders. The client with nipple discharge but no palpable mass most likely has intraductal papilloma. The client who has nipple discharge but also has a mass under warm, red, edematous skin most likely has ductal ectasia. A nurse has taught a female client about the modifiable risk factors for breast cancer. Which statement made by the client indicates that more teaching is needed? I am glad that we can still have wine with every evening meal."
Modifiable risk factors can help prevent breast cancer. The client should lessen alcohol intake and not have wine 7 days a week. Breast-feeding, regular exercise, maintaining a normal weight, and avoiding hormone replacement are also strategies for breast cancer prevention. A younger woman from an unfamiliar culture is at high risk for breast cancer and is considering a prophylactic mastectomy and oophorectomy. What action by the nurse is most appropriate? Offer to include support people, such as the male partner, in the decision making.
The cultural aspects of decision making need to be considered. In some cultures, the man often makes the decisions for care of the female. The woman may want to make the decision with other support people or by herself. The nurse must maintain sensitivity to cultural, religious, and personal beliefs when it comes to this personal decision. Women with a high risk for breast cancer can consider prophylactic surgery. If reconstructive surgery is
considered, the procedure is more complex and will have more complications compared to a breast augmentation. There is a small risk that breast cancer can still develop in the remaining mammary tissue. A [Show Less]