Chapter 51: Breast Disorders
Medical-Surgical Nursing, 10th Edition
MULTIPLE CHOICE
1. The nurse teaching a young women’s community service group about breast self-examination (BSE) will include that
a.
BSE will reduce the risk of dying from breast cancer.
b.
BSE should be done daily while taking a bath or shower.
c.
annual mammograms should be scheduled in addition to BSE.
d.
performing BSE after the menstrual period is more comfortable.
ANS: D
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?
a.
“Do you currently smoke tobacco?”
b.
“Have you ever had a breast injury?”
c.
“At what age did you start having menstrual periods?”
d.
“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
a.
FNA is done in the outpatient clinic, and results are available in 1 to 2 days.
b.
only a small incision is needed, resulting in minimal breast pain and scarring.
c.
if the biopsy results are negative, no further diagnostic testing will be needed.
d.
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?
a.
Bilateral breast nodules that are tender with palpation
b.
A breast nodule that is 1 cm in size, nontender, and fixed
c.
A breast lump that increases in size before the menstrual period
d.
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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