HealthAssess 3.0 Breast and Lymphatics

A nurse is performing a breast inspection during a client's routine physical examination. Which of the following findings should the nurse report to the provider?

Scalet skin at the border of one areola

A nurse is performing a breast examination on a client and notices that the client's right arm is edematous. Which of the following should the nurse identify as a potential cause of this condition?

Recent surgery on the right side

A nurse is preparing to review health promotion recommendations for breast health with a client. Which of the following actions should the nurse plan to take when reviewing health promotion recommendations for breast health?

✱ Review recommendations for mammography based on risk with the client

✱ Document instructions provided in the client's medical record

✱ Ask the client to describe the process for breast self-examination at the end of the teaching

A nurse is teaching a newly licensed nursed about nipple inspection. Which of the following should the nurse include as an example of an expected variation of the nipple?

A client's nipple has remained inverted since childhood

A nurse is teaching a group of newly licensed nurses about routine mammography screenings. Which of the following statements by a newly licensed nurse indicates an understanding of the teaching?

A 55-year-old client should receive mammography screenings at least every 2 years

A nurse is caring for a client who was recently diagnosed with gynecomastia. Which of the following should the nurse identify as a potential cause of this condition?

Medication adverse effects

A nurse is teaching a client about performing a breast self-examination at home. In which order should the nurse instruct the client to perform the steps of breast self-examination?

1. Look at the breasts in front of a mirror with hands placed on hips

2. Inspect the breasts for changes in shape, color, or contour

3. Inspect the nipples for a rash or drainage

4. Liw down and prepare to palpate breasts with the pads of the second, third, and fourth fingers

5. Palpate each breast from the outer edge, moving from top to bottom across the breast

A nurse is performing a breast inspection on a client. Which of the following findings should the nurse report to the provider?

Dimpling

A nurse is performing a physical assessment of client. In which of the following positions should the nurse place the client prior to inspect the client's breasts?

Sitting straight up with arms relaxed and close to the body

A nurse is obtaining a past health history for a client prior to breast examination. Which of the following questions should the nurse ask while obtaining the client's past health history?

✱ Have you ever had breast disease?

✱ Have you experienced breast trauma?

✱ Have you had breast surgery?

✱ Do you perform breast self-examinations?

A nurse is discussing breast cancer with a group of clients. The nurse should include that which of the following findings is a potential indication of breast cancer?

✱ Dilation of the hair follicles

✱ Nipple retraction

✱ A dry, scaling rash on the nipple

A nurse is reviewing breast self-examination techniques with a client. Which of the following client statements indicates an understanding of the techniques?

I will use circular motions to feel the texture of my breast tissue

A nurse is inspecting a client's axillae. Which of the following should the nurse identify as an expected finding?

Skin has a uniform consistency

A nurse is caring for a client who reports palpable lymph nodes under one axilla. The nurse can see small nodules under the skin in the area the client describes. Which of the following should the nurse identify as a potential cause of the client's lymph nide enlargement?

Infection

A nurse is teaching a group of clients about performing breast self-examinations. Which of the following instructions should the nurse include?

Breast self-examination should be done about 5 days after the menstrual cycle begins in clients who are still menstruating