Breast disorders medical-surgical nursing, 10th edition


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Chapter 51: Breast Disorders

Medical-Surgical Nursing, 10th Edition


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


BSE will reduce the risk   of dying from breast cancer.


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


annual mammograms should   be scheduled in addition to BSE.


performing BSE after the   menstrual period is more comfortable.


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?


“Do you currently smoke   tobacco?”


“Have you ever had a   breast injury?”


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


“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


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


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


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


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?


Bilateral breast nodules   that are tender with palpation


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


A breast lump that   increases in size before the menstrual period


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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