Question 1

The nurse will teach a patient with metastatic breast cancer who has a new prescription for trastuzumab (Herceptin)that

Accepted Answer

A) hot flashes may occur with the medication. 
B) serum electrolyte levels will be drawn monthly. 
C) the patient will need frequent eye examinations. 
D) the patient should call if she notices ankle swelling. 
A) hot flashes may occur with the medication. 
B) serum electrolyte levels will be drawn monthly. 
C) the patient will need frequent eye examinations. 
D) the patient should call if she notices ankle swelling.

Question 2

A 53-yr-old woman who is experiencing menopause is discussing the use of hormone therapy (HT)with the nurse. Which information about the risk of breast cancer will the nurse provide?

Accepted Answer

A) HT is a safe therapy for menopausal symptoms if there is no family history of BRCA genes. 
B) HT does not appear to increase the risk for breast cancer unless there are other risk factors. 
C) The patient and her health care provider must weigh the benefits of HT against the risks of breast cancer. 
D) Natural herbs are as effective as estrogen in relieving symptoms without increasing the risk of breast cancer. 
A) HT is a safe therapy for menopausal symptoms if there is no family history of BRCA genes. 
B) HT does not appear to increase the risk for breast cancer unless there are other risk factors. 
C) The patient and her health care provider must weigh the benefits of HT against the risks of breast cancer. 
D) Natural herbs are as effective as estrogen in relieving symptoms without increasing the risk of breast cancer.

Question 3

Which nursing action should be included in the plan of care for a patient returning to the surgical unit after a left modified radical mastectomy with dissection of axillary lymph nodes?

Accepted Answer

A) Obtain a permanent breast prosthesis before the patient is discharged from the hospital. 
B) Teach the patient to use the ordered patient-controlled analgesia (PC
A)  every 10 minutes. 
C) Post a sign at the bedside warning against venipunctures or blood pressures in the left arm. 
D) Insist that the patient examine the surgical incision when the initial dressings are removed. 
A) Obtain a permanent breast prosthesis before the patient is discharged from the hospital. 
B) Teach the patient to use the ordered patient-controlled analgesia (PC
A)  every 10 minutes. 
C) Post a sign at the bedside warning against venipunctures or blood pressures in the left arm. 
D) Insist that the patient examine the surgical incision when the initial dressings are removed.

Question 4

A patient has had left-sided lumpectomy (breast-conservation surgery)and an axillary lymph node dissection. Which nursing intervention is appropriate to delegate to a licensed practical/vocational nurse (LPN/LVN)?

Accepted Answer

A) Teaching the patient how to avoid injury to the left arm 
B) Assessing the patient's range of motion for the left arm 
C) Evaluating the patient's understanding of instructions about drain care 
D) Administering an analgesic 30 minutes before scheduled arm exercises 
A) Teaching the patient how to avoid injury to the left arm 
B) Assessing the patient's range of motion for the left arm 
C) Evaluating the patient's understanding of instructions about drain care 
D) Administering an analgesic 30 minutes before scheduled arm exercises

Question 5

Which assessment finding in a 36-yr-old patient is most indicative of a need for further evaluation?

Accepted Answer

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 
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

Question 6

A patient diagnosed with breast cancer asks the nurse what "triple negative" means. An accurate response from the nurse about triple-negative breast cancer should include that

Accepted Answer

A) the tumor is not likely to be responsive to hormone therapy. 
B) HER-2 receptor testing was repeated for a total of three samples. 
C) treatment with chemotherapy is not likely to be recommended. 
D) estrogen receptor testing identified the three hormones causing the cancer. 
A) the tumor is not likely to be responsive to hormone therapy. 
B) HER-2 receptor testing was repeated for a total of three samples. 
C) treatment with chemotherapy is not likely to be recommended. 
D) estrogen receptor testing identified the three hormones causing the cancer.

Question 7

Which patient statement indicates that the nurse's teaching about tamoxifen has been effective?

Accepted Answer

A) "I can expect to have leg cramps." 
B) "I will call if I have any eye problems." 
C) "I should contact you if I have hot flashes." 
D) "I will be taking the medication for 6 to 12 months." 
A) "I can expect to have leg cramps." 
B) "I will call if I have any eye problems." 
C) "I should contact you if I have hot flashes." 
D) "I will be taking the medication for 6 to 12 months."

Question 8

The nurse provides discharge teaching for a 61-yr-old patient who has had a left modified radical mastectomy and lymph node dissection. Which statement by the patient indicates that teaching has been successful?

Accepted Answer

A) "I will need to use my right arm and to rest the left one." 
B) "I will avoid reaching over the stove with my left hand." 
C) "I will keep my left arm in a sling until the incision is healed." 
D) "I will stop the left arm exercises if moving the arm is painful." 
A) "I will need to use my right arm and to rest the left one." 
B) "I will avoid reaching over the stove with my left hand." 
C) "I will keep my left arm in a sling until the incision is healed." 
D) "I will stop the left arm exercises if moving the arm is painful."

Exam 51: Breast Disorders

The nurse will teach a patient with metastatic breast cancer who has a new prescription for trastuzumab (Herceptin)that

A 53-yr-old woman who is experiencing menopause is discussing the use of hormone therapy (HT)with the nurse. Which information about the risk of breast cancer will the nurse provide?

Which nursing action should be included in the plan of care for a patient returning to the surgical unit after a left modified radical mastectomy with dissection of axillary lymph nodes?

A patient has had left-sided lumpectomy (breast-conservation surgery)and an axillary lymph node dissection. Which nursing intervention is appropriate to delegate to a licensed practical/vocational nurse (LPN/LVN)?

Which assessment finding in a 36-yr-old patient is most indicative of a need for further evaluation?

A patient diagnosed with breast cancer asks the nurse what "triple negative" means. An accurate response from the nurse about triple-negative breast cancer should include that

Which patient statement indicates that the nurse's teaching about tamoxifen has been effective?

The nurse provides discharge teaching for a 61-yr-old patient who has had a left modified radical mastectomy and lymph node dissection. Which statement by the patient indicates that teaching has been successful?

Professional Nursing Practice

Health Disparities and Culturally Competent Care

Health History and Physical Examination

Patient and Caregiver Teaching

Chronic Illness and Older Adults

Stress and Stress Management

Sleep and Sleep Disorders

Pain

Palliative Care at End of Life

Substance Use Disorders

Inflammation and Wound Healing

Genetics and Genomics

Altered Immune Responses and Transplantation

Infection and Human Immunodeficiency Virus Infection

Cancer

Fluid, electrolyte, and Acid-Base Imbalances

Preoperative Care

Intraoperative Care

Postoperative Care

Assessment of Visual and Auditory Systems

Visual and Auditory Problems

Assessment of Integumentary System

Integumentary Problems

Burns

Assessment of Respiratory System

Upper Respiratory Problems

Lower Respiratory Problems

Obstructive Pulmonary Diseases

Assessment of Hematologic System

Hematologic Problems

Assessment of Cardiovascular System

Hypertension

Coronary Artery Disease and Acute Coronary Syndrome

Heart Failure

Dysrhythmias

Inflammatory and Structural Heart Disorders

Vascular Disorders

Assessment of Gastrointestinal System

Nutritional Problems

Obesity

Upper Gastrointestinal Problems

Lower Gastrointestinal Problems

Liver, pancreas, and Biliary Tract Problems

Assessment of Urinary System

Renal and Urologic Problems

Acute Kidney Injury and Chronic Kidney Disease

Assessment of Endocrine System

Diabetes Mellitus

Endocrine Problems

Assessment of Reproductive System

Sexually Transmitted Infections

Female Reproductive and Genital Problems

Male Reproductive and Genital Problems

Assessment of Nervous System

Acute Intracranial Problems

Stroke

Chronic Neurologic Problems

Dementia and Delirium

Spinal Cord and Peripheral Nerve Problems

Assessment of Musculoskeletal System

Musculoskeletal Trauma and Orthopedic Surgery

Musculoskeletal Problems

Arthritis and Connective Tissue Diseases

Critical Care

Shock, sepsis, and Multiple Organ Dysfunction Syndrome

Acute Respiratory Failure and Acute Respiratory Distress Syndrome

Emergency and Disaster Nursing

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