A patient with a genetic mutation of BRCA1 and a family history of breast cancer is admitted to the surgical unit where she is scheduled that day for a bilateral simple mastectomy. What is the reason for this procedure? a. Prevent breast cancer b. Diagnose breast cancer c. Cure or control breast cancer d. Provide palliative care for untreated breast cancer

a. Prevent breast cancer More test answers on https://studyhippo.com/lewis-chapter-15-cancer/

Which of the following would increase risk of getting a breast cancer? A. Family history of breast cancer B. High fiber diet C. Excessive daily exercise D. Wearing a tight bra

A. Family history of breast cancer More test answers on https://studyhippo.com/exam-4-ch-33/

A nurse is conducting a breast examination on a client who has a family history of breast cancer. Which of the following should the nurse report to the provider?

Dimpling of the tissue in the upper outer quadrant More test answers on https://studyhippo.com/b-ati-nursing-logic-critical-and-clinical-thinking/

15 year old boy brought to physician because of painless swelling in left breast for 1 month; no family history of breast cancer. he is at 65th percentile for height and 70th percentile for weight; pulse is 65/min and bop is 118/76; mild facial acne, mustache hair, axillary hair; no adenopathy; left breast is mildly enlarged with palpable breast bud; right breast is normal with no gynecomastia; genitalia are tanner stage 3 – what’s most appropriate initial statement?

this is a common condition for teenage boys and should resolve in time (unilateral; physiologic gynecomastia in teenagers) More test answers on https://studyhippo.com/nbme-13/

The patient was admitted for prophylactic breast removal. The patient has a strong family history of breast cancer and the patient has severe fibrocystic disease in both breasts, making breast examination difficult. The patient was taken to the OR, and a bilateral simple mastectomy was performed. The patient recovered with no problems. The pathology report showed no evidence of malignancy. Final Diagnosis: Family history of breast cancer, severe fibrocystic disease Procedure: Bilateral simple mastectomy

Z40.01, Z80.3, N60.11, N60.12, 0HTV0ZZ More test answers on https://studyhippo.com/icd-10-coding-chapters-5-8/

The nurse caring for patients in a primary care clinic identifies which patient as being the most at risk for the development of breast cancer? A. A 25-year-old female with fibrocystic breast disease B. A 59-year-old male who has inherited the APC gene C. A 72-year-old female with a family history of breast cancer D. A 43-year-old male who is obese and leads a sedentary lifestyle

C. A 72-year-old female with a family history of breast cancer The risk factors most associated with breast cancer are female gender, advancing age, and family history. The incidence of breast cancer increases dramatically after age 60. Mutations in BRCA genes may cause 5% to 10% of breast cancers; APC gene is associated with colon cancer. Obesity and physical inactivity increase the risk for breast cancer. Fibrocystic breast disease is not associated with the development of breast cancer. More test answers on https://studyhippo.com/med-surg-lewis-ch-52-breast-cancer/

5. The nurse is caring for a 39-year-old woman with a family history of breast cancer. She requested a breast tumor marking test and the results have come back positive. As a result, the patient is requesting a bilateral mastectomy. This surgery is an example of what type of oncologic surgery? A) Salvage surgery B) Palliative surgery C) Prophylactic surgery D) Reconstructive surgery

Ans:C Prophylactic surgery is used when there is an extensive family history and nonvital tissues are removed. Salvage surgery is an additional treatment option that uses an extensive surgical approach to treat the local recurrence of a cancer after the use of a less extensive primary approach. Palliative surgery is performed in an attempt to relieve complications of cancer, such as ulceration, obstruction, hemorrhage, pain, and malignant effusion. Reconstructive surgery may follow curative or radical surgery in an attempt to improve function or obtain a more desirable cosmetic effect. More test answers on https://studyhippo.com/chapter-15-oncology-nursing-management-in-cancer-care/

A family history of breast cancer (R)

If your mother, sister or daughter was diagnosed with breast cancer, particularly at a young age, your risk of breast cancer is increased. More test answers on https://studyhippo.com/risk-and-protective-factors-breast-cancer/

The nurse has been asked to participate in a healthy living workshop. While teaching about women’s health, which guidelines should the nurse provide to the audience? A. “Mammograms are necessary if you have a family history of breast cancer.” B. “It’s recommended that you get a mammogram each year after you turn 40.” C. “If you are not able to perform breast self-examination (BSE), you should go for regular mammograms.” D. “You should ensure that your primary care provider performs a breast exam each time you visit.”

B. “It’s recommended that you get a mammogram each year after you turn 40.” Annual mammograms are recommended after age 40. They are recommended for all women, not solely those with a family history of breast cancer. BSE is not a replacement for mammography, and clinical breast examinations are not necessary at each office visit, but recommended at least every 3 years for women in their 20s and 30s, and then every year beginning at age 40. More test answers on https://studyhippo.com/med-surg-lewis-ch-52-breast-cancer/

Which of the following women would be at increased risk for endometrial cancer, based on the information provided? (Mark all that are true.) A 35-year-old with a BMI of 32.4 kg/m2 A 39-year-old with polycystic ovary syndrome A 43-year-old who has taken combined oral contraceptive pills for over 25 years A 46-year-old who has had 6 children and breastfed all of them A 47-year-old who experienced menarche at age 10 and has never been pregnant A 59-year-old with hereditary nonpolyposis colon cancer A postmenopausal female with a strong family history of breast cancer who is taking tamoxifen (Soltamox) to prevent breast cancer A postmenopausal female who is taking raloxifene (Evista) to prevent osteoporosis

A, B, E, F, & G. There is currently no recommended screen for endometrial cancer, but knowing the risk factors is important for counseling patients. Endometrial cancer is associated with obesity, hyperinsulinemia, and chronic anovulation, which are all characteristics of polycystic ovary syndrome (SOR B). Obesity leads to higher estrogen levels, increasing the risk for endometrial cancer; physical activity has been shown to reduce the risk of endometrial cancer (SOR A). Estrogen levels are lower in women who are breastfeeding, and having decreased levels of estrogen for extended periods of time is associated with a lower risk of endometrial cancer (SOR B). As longer exposure to estrogen increases the risk of endometrial cancer, the combination of early menarche and nulliparity increases the risk because of uninterrupted high estrogen levels (SOR B). Oral contraceptives have been found to reduce the risk of endometrial cancer. The protective effect increases with the length of time they are used, and benefits can last years after a woman has stopped taking them (SOR A). Although raloxifene has estrogen-like effects on the uterus, it has not been shown to increase the risk of endometrial cancer (SOR A). Tamoxifen is a selective estrogen receptor modulator that has estrogen-like effects. While it has a protective effect on breast tissue, its effect on the uterus increases the risk of endometrial cancer (SOR A). Hereditary nonpolyposis colon cancer is an inherited disorder linked to certain genes. Women with this cancer have a much higher risk of developing endometrial cancer (SOR B). More test answers on https://studyhippo.com/abfm-preventive-medicine/

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What is Family History Of Breast Cancer?

Family history of breast cancer is an important factor to consider when assessing a person’s risk for developing the disease. It is especially significant if there are three or more first-degree relatives with a history of breast cancer. A family history of any type of cancer can increase the risk for other types, including cancers such as colorectal and ovarian cancer. Having a close relative with breast cancer raises your own risk but does not guarantee that you will develop it. Women with no family history also get breast cancer so it is important to be aware of the signs and symptoms and to have regular screening tests. The American Cancer Society recommends all women start having yearly mammograms by age 45 (or even earlier if they have additional factors which put them at higher risk). It is also important to know your family’s medical history in order to help make decisions about preventive measures, such as lifestyle changes or medications that might reduce your chances of getting certain diseases like breast cancer. If you are concerned about your own personal risks due to your family’s medical background, discuss this with your doctor who may recommend genetic testing or other screenings based on specific risk factors or patterns found in families dealing with similar health issues. Although there isn’t much one can do about his/her genes unfortunately, understanding one’s own unique risks associated with their family health background can help inform sensible choices regarding diet, exercise and lifestyle habits which could potentially lead towards reducing their chance for developing any form of cancer later down the line.. Taking into consideration these aspects along with regularly attending check-ups and screenings should prove beneficial in keeping abreast (pardon the pun) of any potential problems arising from inheriting a particular gene mutation linked to increased chances of developing particular forms of cancers such as Breast Cancer.

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