Chapter 63--Breast Alterations: Nursing Management

Chapter 63--Breast Alterations: Nursing Management MULTIPLE CHOICE 1. A client who has just given birth is planning on breastfeeding the baby. The nurse realizes that which of the following hormones influences breast ...

Chapter 63--Breast Alterations: Nursing Management MULTIPLE CHOICE 1. A client who has just given birth is planning on breastfeeding the baby. The nurse realizes that which of the following hormones influences breast milk secretion? 1. Follicle-stimulating hormone 2. Luteinizing hormone 3. Oxytocin 4. Prolactin PTS: 1 DIF: Analyze REF: Breast Alternations during Maturational Phases: Effects of Hormones on Breast Tissue; Changes During Pregnancy 2. The nurse is instructing a female client about breast self-examination. Which of the following instructions would not be correct for the nurse to provide? 1. “A menstruating woman should check her breast monthly 8 days following her menses.” 2. “An inverted nipple is not a cause for alarm.” 3. “During menopause, you should check your breasts once a month during the same time frame.” 4. “Visually check the breasts in front of a mirror.” PTS: 1 DIF: Apply REF: Examination of the Breast 3. A client who has been breastfeeding a newborn for the last 3 months is experiencing an inflammation of the breast. The nurse realizes this client is experiencing: 1. intraductal papilloma. 2. mastalgia. 3. mastitis. 4. mastodynia. PTS: 1 DIF: Analyze REF: Mastitis 4. During the examination of a female client’s breasts, the nurse determines that which of the following assessment findings would be normal? 1. Nipple discharge 2. Masses 3. Scaling 4. Symmetrical nipples PTS: 1 DIF: Analyze REF: Examination of the Breast 5. The nurse is instructing a female client on the importance of having routine mammograms because mammograms: 1. can detect masses before they become palpable. 2. involves no radiation. 3. has a 25% rate of false positives. 4. combines a blood test with radiology. PTS: 1 DIF: Apply REF: Diagnostic Tests: Mammography 6. The nurse is instructing a female client on what should be done if a lump is discovered while performing breast self-examination (BSE). What should the nurse instruct the client to do? 1. Call her physician and immediately schedule an appointment. 2. Call to schedule an appointment next month. 3. Take the antibiotics she has in her medicine cabinet. 4. Wait until next month’s BSE to make sure the lump is still there. PTS: 1 DIF: Apply REF: Examination of the Breast 7. The nurse determines that a female client has a lower risk for developing breast cancer when which of the following is assessed? 1. Alcohol intake 2. Breastfeeding 3. Obesity 4. Smoking . PTS: 1 DIF: Analyze REF: Breast Cancer: Etiology 8. The nurse should instruct the client that when performing a breast self-examination, pay particular attention to which of the following areas since the greatest number of malignancies are found in this breast area? 1. Upper outer quadrant of the breast to the axilla 2. Portion of the breast closest to the xiphoid process 3. Portion of the breast closest to the abdomen 4. Portion of the breast closest to the neck PTS: 1 DIF: Apply REF: Examination of the Breast 9. The nurse should instruct a client, diagnosed with mastalgia, to do which of the following? 1. “Have an immediate mammogram.” 2. “Expect to need a biopsy.” 3. “Decrease the intake of caffeine.” 4. “Determine if breast augmentation surgery is desired.” PTS: 1 DIF: Apply REF: Mastodynia and Mastalgia 10. A female client tells the nurse that she is planning on having plastic surgery to correct a minor facial defect and then have her “breasts” done. The nurse would identify which of the following nursing diagnoses as being appropriate for this client? 1. Ineffective coping 2. Anxiety 3. Hopelessness 4. Body dysmorphic disorder . PTS: 1 DIF: Analyze REF: Breast Alterations: Psychological Aspects 11. The nurse is determining if a female client is at risk for benign breast disease. Which of the following is a risk factor for this disorder? 1. Smoking 2. Caffeine use 3. Alcohol intake 4. Age 55 PTS: 1 DIF: Analyze REF: Red Flag: Risk Factors for Benign Breast Disease 12. A client is scheduled for a prophylactic mastectomy. The nurse should remind the client that skin flaps will be left after the surgery for: 1. reconstruction. 2. suturing to the chest wall. 3. possible use for other skin disorders. 4. donation for someone needing a skin transplant. PTS: 1 DIF: Apply REF: Mastectomy MULTIPLE RESPONSE 1. When instructing a client on breast self-examination, the nurse reviews the importance of visual inspection of the breasts. Which of the following should the nurse instruct the client to focus on when doing this part of the examination? (Select all that apply.) 1. Contour and symmetry of the breasts 2. Skin changes 3. Position of the nipples 4. Presence or absence of masses 5. Pain 6. Size PTS: 1 DIF: Apply REF: Examination of the Breast 2. The nurse is preparing to assess a client’s nipples during a breast examination. Which of the following are considered pathological conditions that affect the nipple? (Select all that apply.) 1. Bleeding 2. Lumps 3. Discharge 4. Scars 5. Fissures 6. Large size PTS: 1 DIF: Analyze REF: Nipple Disorders 3. Which of the following should the nurse do if a female client is experiencing nipple discharge? (Select all that apply.) 1. Note the color of the discharge. 2. Determine if the discharge is from one or both breasts. 3. Obtain a sample of the discharge with a sterile cotton-tipped swab. 4. Assess the nipple drainage for occult blood 5. Apply sterile bandages over the nipple. 6. Pad the client’s bra with gauze. PTS: 1 DIF: Apply REF: Red Flag: Examining Nipple Discharge 4. A client is experiencing galactorrhea. Which of the following should the nurse assess in this client? (Select all that apply.) 1. Recent vigorous nipple stimulation 2. Prescribed hormones, blood pressure medications, or antidepressants 3. Intake of herbal remedies such as fennel or anise 4. Use of street drugs such as opiates and marijuana 5. Recent chest trauma 6. Age of menarche PTS: 1 DIF: Apply REF: Galactorrhea 5. A client is considering breast augmentation surgery. Which of the following postoperative complications should the nurse discuss with the client regarding this surgery? (Select all that apply.) 1. Change in sensation 2. Development of a hematoma 3. Fibrous tissue around the implant 4. Heart palpitations 5. High blood pressure 6. Arm pain PTS: 1 DIF: Apply REF: Breast Augmentation