c17 CNURSING 295 - Questions and Answers (Latest Version)

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N295 ch 17 MULTIPLE CHOICE 1. Which of the following statements is true regarding the internal structures of the breast? The breast is made up of: 2. In performing a breast examination, t... he 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: 3. In performing an assessment of a woman’s axillary lymph system, the nurse should assess which of these nodes? 4. If a patient reports a recent breast infection, then the nurse should expect to find ________ node enlargement. 5. 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: 6. 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 as-sociated tenderness. She is worried because the left breast is not enlarged. What would be the nurse’s best response? Tell the mother that: 7. A 14-year-old girl is anxious about not having reached menarche. When taking the health history, the nurse should ascertain which of the following? The age that: 8. 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: 9. A woman has just learned that she is pregnant. What are some things the nurse should teach her about her breasts? 10. The nurse is teaching a pregnant woman about breast milk. Which statement by the nurse is correct? 11. 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. What explanation should the nurse offer her? After menopause: 12. 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? 13. 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? 14. The nurse is reviewing statistics regarding breast cancer. Which woman, aged 40 years in the United States, has the highest risk for developing breast cancer? 15. The nurse is preparing for a class in early detection of breast cancer. Which statement is true with regard to breast cancer in black women in the United States? 16. 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: 17. 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? 18. 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? 19. A patient is newly diagnosed with benign breast disease. The nurse recognizes which statement about benign breast disease to be true? The presence of benign breast disease: 20. 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 mammograms “do a much better job than I ever could to find a lump.” The nurse should explain to her that: 21. 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? 22. The nurse is reviewing risk factors for breast cancer. Which of these women have risk factors that place them at a higher risk for breast cancer? 23. During an examination of a woman, the nurse notices that her left breast is slightly larger than her right breast. Which of these statements is true about this finding? 24. The nurse is assisting with a BSE clinic. Which of these women reflect abnormal findings during the inspection phase of breast examination? 25. During the physical examination, the nurse notices that a female patient has an inverted left nipple. Which statement regarding this is most accurate? 26. 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 examina-tion? Have the woman: 27. 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? 28. Which of these clinical situations would the nurse consider to be outside normal limits? 29. 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 should plan to: 30. 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 2 o’clock, 2 cm from the nipple. It is nontender and fixed. No associated retraction of the skin or nipple, no erythema, and no axillary lymphade-nopathy are observed. What information is missing from the documentation? 31. The nurse is conducting a class on BSE. Which of these statements indicates the proper BSE technique? 32. The nurse is preparing to teach a woman about BSE. Which statement by the nurse is correct? 33. A 55-year-old postmenopausal woman is being seen in the clinic for her annual examination. She is concerned about changes in her breasts that she has noticed over the past 5 years. She states that her breasts have decreased in size and that the elasticity has changed so that her breasts seem “flat and flabby.” The nurse’s best reply would be: 34. A 43-year-old woman is at the clinic for a routine examination. She reports that she has had a breast 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 1 o’clock, approximately 5 cm from the nipple. It is firm, mobile, and nontender, with borders that are not well defined. The nurse replies: 35. During a discussion about BSEs with a 30-year-old woman, which of these statements by the nurse is most appropriate? 36. The nurse is discussing BSEs with a postmenopausal woman. The best time for postmenopausal women to perform BSEs is: 37. 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 glands. The nurse should: 38. 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? 39. 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: 40. When a breastfeeding mother is diagnosed with a breast abscess, which of these instructions from the nurse is correct? The mother needs to: 41. 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? 42. 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: 43. 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? MULTIPLE RESPONSE 1. 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. 2. The nurse is examining a 62-year-old man and notes that he has bilateral gynecomastia. The nurse should explore his health history for which related conditions? Select all that apply. [Show More]

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