OB : Ch 30

A nurse is performing an examination of the patient’s breasts during a well-patient visit who has a history of fibrocystic changes in the right breast. Which finding indicates normal breast tissue?

There are lymph nodes present that are nonpalpable

A 28-year-old female patient reports slight clear drainage from the left breast and asks the nurse if this is something that she should be concerned about. What is the best nursing response?

“This can be considered a normal finding, but I want to ask you some questions to clarify.”

What instructions should the nurse provide to a group of female college students as it related to breast self-examination (BSE) techniques?

BSE should be performed the same time each month

A patient in the clinic is providing a return demonstration of a breast self-examination (BSE) to the nurse. What finding indicates that additional instruction is needed?

Patient is using a diagonal pattern approach to palpate breast tissue.

A patient has been diagnosed with fibrocystic breast disease and is concerned about the possibility of developing breast cancer. How should the nurse respond to the patient’s concern?

“I can understand your concern, but this is a common finding and can be monitored.”

Which finding would be associated with a clinical diagnosis of fibroadenoma?

Located in the upper right quadrant of the breast tissue

A 50-year-old patient with a family history of breast cancer is concerned about which diagnostic screening tool for breast cancer should be used in her plan of care. Upon questioning the patient, the family member is a distant cousin. What is the best nursing response?

Screening mammogram should be done to establish a baseline.

A 38-year-old patient is scheduled to have a fine needle aspiration (FNA) for a suspicious lump of the left breast. What type of equipment should the nurse expect to be used for this procedure?

Computer assisted X-ray to confirm location

A nurse is working with a 25-year-old female patient who was recently diagnosed with breast cancer who states that she “feels like the world has been pulled out from my feet”. What is the best nursing response?

Offer support and focus on immediate physical and emotional needs.

A nurse is working with a 28-yea-old female patient who was recently diagnosed and treated for breast cancer with an excellent prognosis based on pathology follow up. What should the nurse include as part of the cancer survivorship care plan?

Discussion about childbeating concerns

The nurse is assessing a patient’s breasts as part of a yearly well visit checkup. Which finding indicated a potential problem as it relates to breast health?

Patient states that her cup size has increased recently

Which notation indicated a poor prognosis for a patient with diagnosed breast cancer?

Stage IV

Based on evidence-based practice, which patient presentation suggests a lifestyle risk to develop breast cancer?

Primipara at age 32 who is 6 months pregnant

A patient presents to the clinic and states that she is concerned about the possibility of having breast cancer as cancer runs in her family. What priority information should the nurse obtain to ascertain potential risk?

Quantify what she means by “cancer” in her family

A 45-year-old female patient states that she wants to improve hr nutritional intake and eat more foods that support breast and bone health. Which food should the nurse suggest that she include in her diet?

Extra virgin olive oil

Which finding would indicate a potential reoccurrence of cancer in a patient who has already been diagnosed with breast cancer?

HER2/neu

A nurse is preparing to teach a patient about maintaining breast health throughout the life span. What information should the nurse include in the teaching plan? SATA

A. There can be normal variations in nipple placement and breast size.

B. Estrogen levels affect sensitivity of breast tissue during menstrual cycle.

C. Follicles of hair appearing on breast tissue is considered to be a normal finding.

Which BIRADS finding if noted on a patient’s chart would alert the nurse that the patient requires follow-up treatment with the health-care provider? SATA

C. Mammogram 0

D. Mammogram 3

Which information should a nurse include in a community teaching plan to promote breast health? SATA

A. Males and females can develop breast cancer.

C. Alcohol usage is positively linked to breast cancer.

D. Smoking is linked to breast cancer.