Exam 17: Breasts and Regional Lymphatics

A patient contacts the office and tells the nurse that she is worried about her 10-year-old daughter having breast cancer.She describes a unilateral enlargement of the right breast with associated tenderness.She is worried because the left breast is not enlarged.What would be the nurse's best response?

A new mother calls the clinic to report that part of her left breast is red,swollen,tender,very hot,and hard.She has a fever of 101° F.She has also had symptoms of the flu,such as chills,sweating,and feeling tired.The nurse notices that she has been breastfeeding for 1 month.From her description,what condition does the nurse suspect?

The nurse is reviewing risk factors for breast cancer.Which of these women have risk factors that place them at a higher risk for breast cancer?

During the physical examination,the nurse notices that a female patient has an inverted left nipple.Which statement regarding this is most accurate?

During a breast examination on a female patient,the nurse notices that the nipple is flat,broad,and fixed.The patient states it "started doing that a few months ago." This finding suggests:

A 55-year-old postmenopausal woman is being seen in the clinic for a yearly examination.She is concerned about changes in her breasts that she has noticed over the past 5 years.She states that her breasts have decreased in size and that the elasticity has changed so that her breasts seem "flat and flabby." The nurse's best reply would be:

During a breast health interview,a patient states that she has noticed pain in her left breast.The nurse's most appropriate response to this would be:

When a breastfeeding mother is diagnosed with a breast abscess,which of these instructions from the nurse is correct? The mother needs to:

The nurse is assessing the breasts of a 68-year-old woman and discovers a mass in the upper outer quadrant of the left breast.When assessing this mass,the nurse keeps in mind that characteristics of a cancerous mass include which of the following? Select all that apply.

In examining a 70-year-old male patient,the nurse notices that he has bilateral gynecomastia.Which of the following describes the nurse's best course of action?

A 43-year-old woman is at the clinic for a routine examination.She reports that she has had a breast lump in her right breast for years.Recently,it has begun to change in consistency and is becoming harder.She reports that 5 years ago her physician evaluated the lump and determined that it "was nothing to worry about." The examination validates the presence of a mass in the right upper outer quadrant at 1 o'clock,approximately 5 cm from the nipple.It is firm,mobile,nontender,with borders that are not well defined.The nurse's recommendation to her is:

Which of these clinical situations would the nurse consider to be outside normal limits?

The nurse is conducting a class about breast self-examination (BSE).Which of these statements indicates proper BSE technique?

During a history interview,a female patient states that she has noticed a few drops of clear discharge from her right nipple.What should the nurse do next?

During an examination,the nurse notes a supernumerary nipple just under the patient's left breast.The patient tells the nurse that she always thought it was a mole.Which statement about this finding is correct?

During a physical examination,a 45-year-old woman states that she has had a crusty,itchy rash on her breast for about 2 weeks.In trying to find the cause of the rash,which of these would be important for the nurse to determine?

The nurse is assisting with a self-breast examination clinic.Which of these women reflect abnormal findings during the inspection phase of breast examination?

During an interview,a patient reveals that she is pregnant.She states that she is not sure whether she will breastfeed her baby and asks for some information about this.Which of these statements by the nurse is accurate with regard to breastfeeding?

The nurse is preparing to teach a woman about breast self-examination (BSE).Which statement by the nurse is correct?

In performing a breast examination,the nurse knows that it is especially important to examine the upper outer quadrant of the breast.The reason for this is that the upper outer quadrant is: