Exam 18: Breasts and Regional Lymphatic System

Which of the following women has risk factors that place her at a higher risk for breast cancer?

A 9-year-old girl is in the clinic for a sports physical assessment.Getting over her initial shyness,she asks,"Am I normal? I don't seem to need a bra yet,but I have some friends who do.What if I never get breasts?" The nurse's best response would be:

While examining a patient's breasts,the nurse finds the left breast slightly larger than the right and the presence of Montgomery's glands bilaterally.The nurse would:

A 43-year-old woman is at the clinic for a routine examination.She reports that she has had a 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 had 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,and nontender,with borders that are not well defined.The nurse's recommendation to her is:

A patient states during the assessment that she noticed a new lump in her left breast near her axilla while in the shower a few days ago.The nurse should plan to:

Which of the following statements about the internal structures of the breast is true?

The nurse is teaching a pregnant woman about breast milk.Which of the following statements would be true?

A new mother,who has been breastfeeding for 1 month,calls the clinic to report that an area of her left breast is red,swollen,tender,very hot,and hard.She has a fever of 38.3°C.She has also had symptoms of flu,such as chills,sweating,and tiredness.From this description,what condition does the nurse suspect?

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 certain characteristics of a cancerous mass.(Select all that apply. )

During breast examination,the nurse notes that the woman's nipple is flat,broad,and fixed.The patient states that this "started happening a few months ago." This finding suggests:

Which assessment finding regarding the shape of a breast lump would indicate that the woman may have breast cancer?

If a patient reports a recent infection in the breast,the nurse would expect to find:

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

While palpating,the nurse has found a lump in a female patient's right breast.The nurse documents this as a small,round,firm,distinct lump located at the 2:00 position,2 cm from the nipple.It is nontender and fixed.There is no associated retraction of skin or nipple,no erythema,and no axillary lymphadenopathy.This entry is missing information about:

During examination,the nurse notices that a woman's left breast is slightly larger than her right breast.Which of the following is true?

A breastfeeding mother is diagnosed with a breast abscess.Which of the following instructions from the nurse is correct? The mother needs to:

During physical examination,the nurse notes that a female patient has an inverted left nipple.Which of the following statements about inverted nipples is most accurate?

A 65-year-old patient remarks that she just cannot believe that her breasts sag so much.She thinks it could be due to lack of exercise.What explanation should the nurse offer her?

The nurse is conducting a class about breast health.Which of the following statements is true?

A 54-year-old man comes to the clinic with a "horrible problem." He tells the nurse that he has just discovered a lump in his breast and is fearful of cancer.Which statement about breast cancer in men is true?