Assessing Breast And Lymphatic System Questions And Well Verified Answers

Assessing Breast And Lymphatic System Questions And Well Verified Answers Screening measures for breast cancer include all of the following except: - ANSWER Breast x-rays Which of the following are the four major axillary node groups? - ANSWER Pectoral, subscapular, lateral, central When inspecting the nipples, which of the following findings is unexpected? - ANSWER Retraction of the left nipple A 48-year-old woman has presented to her primary care provider concerned about the recent detection of a mass in her left breast. The mass is tender on palpation, and the nurse notes that it is round, well-delineated, and mobile. There is no evidence of nipple retraction on inspection. Which of the following breast masses would the nurse first suspect? - ANSWER Cyst During the physical examination of a client, a nurse notes that the client has tenderness of the breasts. Which question should the nurse ask the client with regard to this finding? - ANSWER "Are you taking oral contraceptive pills?" During the physical examination of a female client, the nurse notes that the client's axillary lymph nodes are enlarged, hard, and fixed. The nurse recognizes that these findings are consistent with what disease process? - ANSWER Malignancy How should a nurse instruct a client to perform a breast self-examination to most effectively cover the entire breast? - ANSWER Up-and-down pattern starting at the underarm and moving across the breas While interviewing a client, the nurse asks her what her typical daily diet consists of. Which of the following is associated with an increased risk for breast cancer? - ANSWER High fat diet The nurse is working with a community group to set up teaching programs to increase awareness among African American women about preventive screening techniques for breast cancer. In the teaching program, the nurse should plan to include - ANSWER breast cancer patients of the same race The nurse is assessing a 50-year-old client's breasts and observes a spontaneous discharge of fluid from the left nipple. The nurse should - ANSWER refer the client for a cytology examination. A modifiable risk factor for breast cancer includes what? - ANSWER Obesity The nurse practitioner is examining a client and notes an axillary lymph node approximately 1.5 cm in size, tender, and movable. The nurse practitioner also notes an erythematous 3-cm abrasion on the client's upper arm. The client tells the nurse practitioner that she fell in the garden while fertilizing her plants. What nursing diagnosis would the nurse practitioner include in the plan of care? - ANSWER Fear related to possible diagnosis of breast cancer A nurse palpates the breasts of a client for masses during the physical examination. The nurse knows that if a tumor if malignant, which characteristics will be present? Select all that apply. - ANSWER -Fixed to underlying tissue -Irregular in shape -Hard and non-tender During the physical examination of a female client the nurse notes the client's axillary lymph nodes are enlarged, hard, and fixed. The nurse recognizes these findings are consistent with what disease process? - ANSWER Malignancy During the physical examination of a client's breast, which finding should the nurse recognize as a possible indication of a malignant tumor? - ANSWER Retraction of the nipple A middle-aged female tells the nurse that she is concerned because her breasts are not as firm as they used to be. What is an appropriate response by the nurse? - ANSWER "Firmness of the breasts decrease with lower estrogen levels" A 63-year-old nurse comes to the office upset because she has found an enlarged lymph node under her right arm. She states she found it last week while taking a shower. She isn't sure if she has any breast lumps because she doesn't know how to do self-breast examinations. She states her last mammogram was 5 years ago and it was normal. Her past medical history is significant for high blood pressure and chronic obstructive pulmonary disease. She quit smoking 2 years ago after a 55-pack a year his - ANSWER Breast cancer A 14-year-old junior high school student is brought in by his mother and father because he seems to be developing breasts. The mother is upset because she read on the Internet that smoking marijuana leads to breast enlargement in males. The young man adamantly denies using any tobacco, alcohol, or drugs. He has recently noticed changes in his penis, testicles, and pubic hair pattern. Otherwise, his past medical history is unremarkable. His parents are both in good health. He has two older brothe - ANSWER Imbalance of hormones of puberty Which is true of women who have had a unilateral mastectomy? - ANSWER They should be examined carefully along the surgical scar for masses. A nurse is examining the breasts of a 75-year-old woman. Which of the following are normal findings in the breasts of an older adult? - ANSWER -Smaller, flatter nipples -Nipples that are less erectile on stimulation -Pendulous breasts When examining the breasts of a client, the nurse finds a collection of fatty tissue that appears as a lump. The nurse knows that this is which of the following conditions? - ANSWER Lipoma The client tells the nurse that she has benign breast disease and so she is not worried about any lumps or nodules in her breasts. How would the nurse best respond? - ANSWER "It is important to perform self breast examinations as there could be changes or additional lumps in your breasts that would need further examination." What is an accurate description of scaling? - ANSWER Thin flakes of keratinized epithelium Your patient is noted to have thickening of the skin and unusually prominent pores on her right breast. What might you suspect? - ANSWER Lymphatic obstruction Which population should be the primary target for breast cancer screening? - ANSWER Black women over the age of 60 An nursing instructor is discussing the functions of the breasts. A student asks about the function of Montgomery glands. What would be the instructor's best ANSWER? - ANSWER "During lactation, they secrete a protective lubricant." The lateral lymph nodes are located along the upper humerus and drain most of the