Question 1

During a breast examination, which finding most strongly suggests that a client has breast cancer?

Accepted Answer

A fixed nodular mass with dimpling of the overlying skin

Question 2

A nurse is caring for a client who has just had a modified radical mastectomy with immediate reconstruction. She\'s in her 30s and has two young children. Although she\'s worried about her future, she seems to be adjusting well to her diagnosis. What should the nurse do to support her coping?

Accepted Answer

Refer the client to the American Cancer Society\'s Reach for Recovery program or another support program.

Question 3

A nurse is providing breast cancer education at a community facility. The American Cancer Society recommends that women get mammograms

Accepted Answer

yearly starting at age 40.

Question 4

A client tells the nurse that she has found a painless lump in her right breast during her monthly self-examination. Which assessment finding would strongly suggest that this client\'s lump is cancerous?

Accepted Answer

Nonmobile mass with irregular edges

Question 5

On discharge, a client who underwent left modified radical mastectomy expresses relief that \"the cancer\" has been treated. When discussing this issue with the client, the nurse should stress that she:

Accepted Answer

should continue to perform breast self-examination on her right breast

Question 6

Sentinel lymph node mapping is done to validate the lack of lymph node metastasis. Which of the following complications does this technique help avoid?

Accepted Answer

Lymphedema

Question 7

Which of the following terms refers to breast pain?

Accepted Answer

Mastalgia

Question 8

Which of the following is an inaccurate manifestation of a fibroadenoma?

Accepted Answer

Premenstrual changes occur

Question 9

Atypical hyperplasia increases a women\'s risk for breast cancer about how many time compared with that of the general population?

Accepted Answer

4

Question 10

A group of students are reviewing the anatomy and physiology of the breasts. The students demonstrate understanding of breast structure when they identify the tail of Spence as an extension of which quadrant?

Accepted Answer

Upper outer

Question 11

A client comes to the clinic for a routine evaluation. During the physical examination, the nurse palpates the client\'s breast and finds a small lump. Which of the following would lead the nurse to suspect possible breast cancer?

Accepted Answer

The lump is irregularly shaped

Question 12

A client has had a right modified radical mastectomy and axillary lymph node dissection. The nurse is teaching the client about measures to reduce the risk of complications. The client demonstrates understanding of the instructions when she states which of the following?

Accepted Answer

\"I need to use an electric shaver when shaving my right armpit.\"

Question 13

The nurse is providing care to a client who has had surgery as treatment for breast cancer. The nurse would be alert for the development of which of the following?

Accepted Answer

Lymphedema

Question 14

A client with a fibroadenoma is being scheduled for diagnostic testing. Which of the following would the nurse expect as most likely?

Accepted Answer

Ultrasound

Question 15

A nurse is reviewing a female patient\'s history, which includes the following information:  Age at menarche: 14 years Cesarean delivery: 2 pregnancies Age at first pregnancy: 35 years Alcohol use: approximately 1 to 2 glasses of wine/month  The nurse identifies which of the following as a possible risk factor for developing breast cancer?

Accepted Answer

Age at first pregnancy

Question 16

A client is concerned about the lumps that have developed in her breasts and is fearful of cancer. The client reports variability in the size of the lumps. What could be causing this condition?

Accepted Answer

cyclical hormonal changes

Question 17

The nurse is caring for a group of breast cancer survivors post mastectomy. Which teaching point should the nurse include?

Accepted Answer

Do not lift objects greater than 15 lb

Question 18

The nurse is assessing an older adult female who has not seen her physician in 2 years. The nurse is assisting the patient into a gown and notices that the patient has edema and pitting of the skin on the right breast. What does the nurse understand is the significance of this finding?

Accepted Answer

It may result from a neoplasm blocking lymphatic drainage, giving the skin an orange-peel appearance, a classic sign of advanced breast cancer.

Question 19

The nurse is discussing mammography with a female patient at the clinic. The patient asks at what age she should begin getting yearly mammograms. What answer should the nurse provide to the patient?

Accepted Answer

40

Question 20

Hematoma and seroma formation are complications of breast surgery. Which of the following is the indicator that should be reported to the surgeon?

Accepted Answer

Gross swelling

Question 21

A client has just had a left radical mastectomy, and the nurse is providing information on complications that may arise due to removing the axillary lymph nodes. Which would not be included?  infection  reduced range of motion  All would be included in the discussion.  tissue necrosis

Accepted Answer

All would be included in the discussion

Question 22

A client is considering breast augmentation. Which of the following would the nurse recommend to the client to ensure that there are no malignancies?

Accepted Answer

Mammogram

Question 23

After teaching a group of students about the signs and symptoms of breast cancer, the instructor determines that additional teaching is needed when the group identifies which of the following?

Accepted Answer

Breast symmetry

Question 24

The client arrives at a public health clinic worried that she has breast cancer since finding a lump in her breast. When assessing the breast, which assessment finding is characteristic of fibrocystic disease?

Accepted Answer

The lump is round and movable.

Question 25

The nurse is caring for a client who is ordered a sentinel lymph node biopsy. The physician explained the procedure and desired outcome. Which statement, made by the client, indicates a need for further instruction?

Accepted Answer

The procedure removes all cancer from the body.

Question 26

The nurse is caring for a client who is beginning doxorubicin (Adriamycin) therapy for breast cancer. When preparing the client for probable side effects, which would the nurse include?

Accepted Answer

Information regarding wigs from the American Cancer Society

Question 27

A patient is receiving adjuvant chemotherapy for breast cancer. Which of the following is most likely her node status and tumor size?

Accepted Answer

Node negative, tumor size 1.2 cm

Question 28

On a follow-up visit, the patient is informed that her breast cancer has recurred. The nurse knows which of the following situations places the patient at risk for developing bone metastases?

Accepted Answer

Recurrence within 2 years of the original diagnosis

Question 29

A patient is having a fine-needle biopsy (FNB) for a mass in the left breast. When the needle is inserted and the mass is no longer palpable, what does the nurse know has most likely occurred?

Accepted Answer

The mass may be cystic and was ruptured when the needle was inserted

Question 30

A patient is told that she has a common form of breast cancer where the tumor arises from the duct system and invades the surrounding tissues, often forming a solid irregular mass. What type of cancer does the nurse prepare to discuss with the patient?

Accepted Answer

Infiltrating ductal carcinoma

Question 31

For a cancerous tumor, a client must undergo modified radical mastectomy, which includes axillary node removal and immediate reconstruction. The nurse explains to the client that the axillary nodes will be removed to:

Accepted Answer

provide prognostic information

Question 32

Which of the following would be inconsistent as a risk factor for breast cancer?

Accepted Answer

Multiparity

Question 33

A client has been diagnosed with breast cancer and is awaiting cytology results of a biopsy. During client education, the nurse discusses the possible types of breast malignancies. Which is the most common type?

Accepted Answer

ductal

Question 34

A female client is diagnosed with breast abscess. She would like to continue to breast-feed her newborn. Which of the following would be most appropriate in this situation?

Accepted Answer

Assist the client to pump the breasts to remove breast milk.

Question 35

The nurse is assessing the breast of a female patient and observes a prominent venous pattern on the left breast. What does the nurse understand that this can be indicative of?

Accepted Answer

Increased blood supply required by a tumor

Question 36

A 30-year-old client whose mother died of breast cancer at age 44 and whose sister has ovarian cancer, is concerned about developing cancer. As a member of the oncology multidisciplinary team, the nurse should suggest that the client ask the physician about which topic?

Accepted Answer

Genetic counseling

Question 37

During a follow-up visit, a female client who underwent a mastectomy asks the nurse if she can work in her backyard or at least do some household work. Which suggestion would be most appropriate?

Accepted Answer

Wear gloves and protective clothing to avoid any injuries

Question 38

The nurse is educating a patient about the best time to perform BSE. When does the nurse inform her is the best time after menses to perform BSE?

Accepted Answer

5 to 7 days

Question 39

A patient is having a biopsy that will remove the entire mass, plus a margin of surrounding tissue. What type of biopsy will be documented on the operative permit?

Accepted Answer

Excisional biopsy

Question 40

Several days before admission, a client reports finding a small lump in the left breast near the nipple. What should the nurse tell the client to do?

Accepted Answer

Inform the physician immediately.

Question 41

The nurse recognizes which of the following statements as accurately reflecting a risk factor for breast cancer?

Accepted Answer

Mother affected by cancer before 60 years of age

Question 42

A nurse is reviewing a client\'s history for possible risk factors associated with breast cancer. Which of the following would the nurse identify as increasing the client\'s risk?

Accepted Answer

First full-term pregnancy at age 34 years

Question 43

The nurse is completing the admission history for a client who is admitted for a reduction mammoplasty. Which of the following client statements is uncommon when explaining the rationale for the procedure?

Accepted Answer

Others disapprove

Question 44

The nurse working on a woman\'s cancer treatment floor performs nursing assessments on her assigned patients. It is most important for the nurse to report which of the following assessment findings?

Accepted Answer

Coolness and mottling of a newly constructed breast site

Question 45

Which of the following terms is used to describe removal of the breast tissue and an axillary lymph node dissection leaving muscular structure intact as surgical treatment of breast cancer?

Accepted Answer

Modified radical mastectomy

Question 46

The nurse is obtaining a history from a client who states recurrent breast tenderness. The client inquires if there is something wrong with her breasts. Which question by the nurse is best?

Accepted Answer

\"Does the tenderness occur around the same time each month?\"

Question 47

The nurse is caring for four clients in an oncology unit. Following report on diagnosis and treatment, which client would the nurse identify as having the most life-threatening diagnosis?

Accepted Answer

A client with stage IV cancer receiving palliative care

Question 48

An early sign of Paget\'s disease includes which of the following?

Accepted Answer

Nipple erythema

Chapter 58: Assessment and Management of Patients With Breast Disorders – Flashcards

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