Exam 18: Breasts and Regional Lymphatics

If a patient reports a recent breast infection, then the nurse should expect to find ________________ node enlargement.

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 determined that it "was nothing to worry about." The examination validates the presence of a mass in the right upper outer quadrant at the 1 o'clock position, approximately 5 cm from the nipple.It is firm, mobile, and nontender, with borders that are not well defined.The nurse replies:

The nurse is working with multicultural communities to increase breast cancer screening.The nurse will ensure to include the following factor(s) to improve screening rates:

A 14-year-old girl is anxious about not having reached menarche.When taking the health history, the nurse will ascertain the age when:

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?

A 65-year-old patient remarks that she just cannot believe that her breasts "sag so much." She states it must be from a lack of exercise.The nurse explains that after menopause:

During a health 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 of a 7-year-old girl, the nurse notices that the girl is showing breast budding.What should the nurse do next?

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:

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

The nurse is reviewing risk factors for breast cancer.Which of these women have unmodifiable 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?

The nurse is conducting a class on BSE.Which of these statements indicates the proper BSE technique?

The nurse is performing a breast examination.Which of these statements best describes the correct procedure to use when screening for nipple and skin retraction during a breast examination? Have the woman:

During an examination of a woman, the nurse notices that her left breast is slightly larger than her right breast.Which of these statements about this finding is true?

The nurse is discussing risk factors for breast cancer at a women's health fair.The nurse identifies ways to reduce the risk by modifying certain factors including: (Select all that apply.)

The nurse is teaching a pregnant woman about breast milk.Which statement by the nurse is correct?

A woman is in the family planning clinic seeking birth control information.She states that her breasts "change all month long" and that she is worried that this is unusual.What is the nurse's best response? The nurse should tell her that:

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 38.3°C.She also has had symptoms of influenza, 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?

During a discussion about BSEs with a 30-year-old woman, which of these statements by the nurse is most appropriate?