NR 325 - FINAL EXAM STUDY GUIDE (ACTUAL
2025) QUESTIONS AND VERIFIED ANSWERS.
Breast cancer screening guidelines - <<,answers>>>regular
screening mammography starting at age 45 years.
Estradiol - caution - <<,answers>>>this rx will increase the
growth of estrogen-dependent tumors
Raloxifene - therapeutic use - <<,answers>>>this rx is used to
prevent breast cancer
This rx *is not used* postmastectomy
Radical mastectomy - post op nursing care -
<<,answers>>>patients are at increased risk for lymphedema
and infection
Therefore, *no blood pressures or venipunctures* in the
affected arm
Signage should be posted at the bedside to help remind staff
Radical mastectomy - patient teaching -
<<,answers>>>patients should avoid any activity that might
injure the affected arm
,Analgesics can be used
Exercises should be continued in order restore strength/rom
Affected arm should be elevate at or above the heart to
improve rom/function
Sites of breast cancer recurrence/metastasis -
<<,answers>>>*local recurrence*
Skin
Chest wall
*regional recurrence*
Lymph nodes
*distal metastasis*
Skeletal
Spinal cord
Brain
Pulmonary
Liver
Bone marrow
,Women aged 45 to 54 years should be screened annually.
Women 55 years and older should transition to biennial
screening or have the opportunity to continue screening
annually.
Continue screening mammography as long as overall health is
good and life expectancy is 10 years or longer
The breast self-examination - <<,answers>>>lie down and
place one arm behind the head
Use finger pads of three middle fingers of the other hand to
feel for lumps
Use overlapping dime-sized circular motions to feel the breast
tissue
Use three different levels of pressure
Up-and-down vertical pattern is recommended
Stand in a front a mirror; examine breasts for:
, - shape
- size
- redness/scaliness
- dimpling (skin/nipple)
Mastitis - <<,answers>>>inflammation of the breast
Occurs in up to 10% of postpartum lactating mothers 2-4
weeks after birth
Mastitis - clinical manifestations - <<,answers>>>warm to
touch
Indurated/painful
Often unilateral
Most commonly caused by staphylococcus aureus
Best time to perform self breast exam (bse) -
<<,answers>>>perform bse at the end of the menstrual period
Breast tenderness is less likely to occur
2025) QUESTIONS AND VERIFIED ANSWERS.
Breast cancer screening guidelines - <<,answers>>>regular
screening mammography starting at age 45 years.
Estradiol - caution - <<,answers>>>this rx will increase the
growth of estrogen-dependent tumors
Raloxifene - therapeutic use - <<,answers>>>this rx is used to
prevent breast cancer
This rx *is not used* postmastectomy
Radical mastectomy - post op nursing care -
<<,answers>>>patients are at increased risk for lymphedema
and infection
Therefore, *no blood pressures or venipunctures* in the
affected arm
Signage should be posted at the bedside to help remind staff
Radical mastectomy - patient teaching -
<<,answers>>>patients should avoid any activity that might
injure the affected arm
,Analgesics can be used
Exercises should be continued in order restore strength/rom
Affected arm should be elevate at or above the heart to
improve rom/function
Sites of breast cancer recurrence/metastasis -
<<,answers>>>*local recurrence*
Skin
Chest wall
*regional recurrence*
Lymph nodes
*distal metastasis*
Skeletal
Spinal cord
Brain
Pulmonary
Liver
Bone marrow
,Women aged 45 to 54 years should be screened annually.
Women 55 years and older should transition to biennial
screening or have the opportunity to continue screening
annually.
Continue screening mammography as long as overall health is
good and life expectancy is 10 years or longer
The breast self-examination - <<,answers>>>lie down and
place one arm behind the head
Use finger pads of three middle fingers of the other hand to
feel for lumps
Use overlapping dime-sized circular motions to feel the breast
tissue
Use three different levels of pressure
Up-and-down vertical pattern is recommended
Stand in a front a mirror; examine breasts for:
, - shape
- size
- redness/scaliness
- dimpling (skin/nipple)
Mastitis - <<,answers>>>inflammation of the breast
Occurs in up to 10% of postpartum lactating mothers 2-4
weeks after birth
Mastitis - clinical manifestations - <<,answers>>>warm to
touch
Indurated/painful
Often unilateral
Most commonly caused by staphylococcus aureus
Best time to perform self breast exam (bse) -
<<,answers>>>perform bse at the end of the menstrual period
Breast tenderness is less likely to occur
