Exam 70: Care of Patients with Breast Disorders

A woman diagnosed with breast cancer had these laboratory tests performed at an office visit: Which test results indicate to the nurse that some further diagnostics are needed?

Which finding in a female client by the nurse would receive the highest priority of further diagnostics?

A client states that she rates her pain as a "5" on a 0-to-10 scale post-mastectomy.The provider has ordered morphine 4 mg for moderate pain every 4 hours.The morphine is supplied in a solution of 8 mg/mL.How many mL will the nurse administer? ____ mL

A client is diagnosed with a fibrocystic breast condition while in the hospital and is experiencing breast discomfort.What comfort measure would the nurse delegate to the unlicensed assistive personnel (UAP)?

With a history of breast cancer in the family,a 48-year-old female client is interested in learning about the modifiable risk factors for breast cancer.After the nurse explains this information,which statement made by the client indicates that more teaching is needed?

A client is starting hormonal therapy with tamoxifen (Nolvadex)to lower the risk for breast cancer.What information needs to be explained by the nurse regarding the action of this drug?

A client is concerned about the risk of lymphedema after a mastectomy.Which response by the nurse is best?

A client is placed on a medical regimen of doxorubicin (Adriamycin),cyclophosphamide (Cytoxan),and fluorouracil (5-FU)for breast cancer.Which side effect seen in the client should the nurse report to the provider immediately?

A client is discharged to home after a modified radical mastectomy with two drainage tubes.Which statement by the client would indicate that further teaching is needed?

A 68-year-old male client is embarrassed about having bilateral breast enlargement.Which statement by the nurse is the most appropriate?

During dressing changes,the nurse assesses a client who has had breast reconstruction.Which finding would cause the nurse to take immediate action?

A client has just returned from a right radical mastectomy.Which action by the unlicensed assistive personnel (UAP)would the nurse consider unsafe?

The nurse is teaching a 45-year-old woman about her fibrocystic breast condition.Which statement by the client indicates a lack of understanding?

The nurse is taking the history of a client who is scheduled for breast augmentation surgery.The client reveals that she took two aspirin this morning for a headache.Which action by nurse is best?

What comfort measure can only be performed by a nurse,as opposed to an unlicensed assistive personnel (UAP),for a client who returned from a left modified radical mastectomy 4 hours ago?

A 37-year-old Nigerian woman is at high risk for breast cancer and is considering a prophylactic mastectomy and oophorectomy.What action by the nurse is most appropriate?

The nurse is examining a woman's breast and notes multiple small mobile lumps.Which question would be the most appropriate for the nurse to ask?

The nurse is taking a history of a 68-year-old woman.What assessment findings would indicate a high risk for the development of breast cancer? (Select all that apply.)

The nurse is formulating a teaching plan according to evidence-based breast cancer screening guidelines for a 50-year-old woman with low risk factors.Which diagnostic methods should be included in the plan? (Select all that apply.)

A 35-year-old woman is diagnosed with stage III breast cancer.She seems to be extremely anxious.What action by the nurse is best?