Exam 52: Nursing Management: Breast Disorders

After the nurse has completed teaching a patient who has breast cancer about the newly prescribed tamoxifen (Nolvadex), which patient statement indicates that the teaching has been effective?

A patient returns to the surgical unit following a right modified radical mastectomy with dissection of axillary lymph nodes. Which nursing action should be included in the plan of care?

When teaching a 28-year-old patient about breast self-examination (BSE), the nurse will instruct the patient that

A 51-year-old woman at menopause is considering the use of hormone replacement therapy (HRT) but is concerned about the risk of breast cancer. Which information will the nurse include when discussing HRT with the patient?

A patient with a small immobile breast lump is advised to have a fine needle aspiration ( FNA ) biopsy. The nurse explains that an advantage to this procedure is that

To determine the risk for breast cancer in a 52-year-old patient who has found a small lump in her breast, which question is most pertinent for the nurse to ask?

A student nurse prepares a list of teaching topics for a patient with a new diagnosis of breast cancer. Which topic indicates that the student needs more education about breast cancer diagnostic testing?

Following a lumpectomy, a patient is scheduled for external beam radiation to the right breast. Which information should the nurse include in patient teaching?

Which information will the nurse include when teaching a patient about the transverse rectus abdominis musculocutaneous (TRAM) procedure?

When the nurse is assessing the breasts of a 31-year-old, which finding is most indicative of a need for further evaluation?

Which statement by a 52-year-old patient newly diagnosed with stage I breast cancer indicates to the nurse that patient teaching may be needed?

During examination of a 67-year-old man, the nurse notes bilateral enlargement of the breasts. Which action should the nurse take first?

Which action should the nurse take first when caring for a patient who has been admitted for lumpectomy and axillary lymph node dissection?

The pathology report for a 42-year-old who has had a modified radical mastectomy identifies the tumor as an estrogen-receptor positive adenocarcinoma. The nurse will plan on teaching the patient about

After a patient is diagnosed with lobular carcinoma in situ (LCIS), the nurse will anticipate that patient teaching may be needed about

A 33-year-old who has a diagnosis of fibrocystic breast changes calls the nurse in the clinic with these symptoms. Which is most important to report to the health care provider?

When the nurse is caring for a patient with left arm lymphedema, which action will be included in the plan of care?

A patient with stage II breast cancer tells the nurse, "I need to decide about what type of surgery to have, but I feel so overwhelmed that I cannot make any decisions yet! What do you think I should do?" Which response by the nurse is best?

After the nurse completes discharge teaching for a patient who has had a left modified radical mastectomy and lymph node dissection, which statement by the patient indicates that teaching has been successful?

When a patient is scheduled for stereotactic core biopsy of the breast, which information will the nurse include in patient education?