Exam 18: Breasts and Regional Lymphatics

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

While examining a 75-year-old woman, the nurse notices that the skin over her right breast is thickened and the hair follicles are exaggerated.This condition is known as:

When performing a breast assessment, the nurse notes smooth, elastic and firm breast tissue.The nurse recognizes this as a normal finding as the breast consists of:

Which of these clinical situations would the nurse be concerned about and consider to be outside normal findings?

A 9-year-old girl is in the clinic for a sport physical examination.After some initial shyness, she finally 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:

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?

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

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

The nurse has palpated a lump in a female patient's right breast.The nurse documents this as a small, round, firm, distinct, lump located at the 2 o'clock position, 2 cm from the nipple.It is nontender and fixed.No associated retraction of the skin or nipple, no erythema, and no axillary lymphadenopathy are observed.What information is missing from the documentation?

The nurse is palpating a female patient's breasts during an examination.Which of these positions is most likely to make significant lumps more distinct during breast palpation?

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?

During an annual physical examination, a 43-year-old patient states that she does not perform monthly breast self-examinations (BSEs).She tells the nurse that she believes that mammography "does a much better job than I ever could to find a lump." The nurse should explain to her that:

The nurse is discussing BSEs with a postmenopausal woman.The best time for postmenopausal women to perform BSEs is:

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 is aware that characteristics of a cancerous mass include which of the following? (Select all that apply.)

While inspecting a patient's breasts, the nurse finds that the left breast is slightly larger than the right with the bilateral presence of Montgomery's glands.The nurse should:

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:

A woman has just learned that she is pregnant.What are some things the nurse should teach her about her breasts?

A patient states during the interview that she noticed a new lump in the shower a few days ago.It was on her left breast near her axilla.The nurse will:

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? Tell the mother that:

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