Breast Disorders Discussion Assignment Essay

Breast Disorders Discussion Assignment

The number of the question corresponds to the same-numbered
outcome at the beginning of the chapter.
1. You are a community health nurse planning a program on breast
cancer screening guidelines for women in the neighborhood. To
best promote the participants’ learning and adherence, you would
include (select all that apply)
a. a short audiotape on the BSE procedure.
b. a packet of articles from the medical literature.
c. written guidelines for mammography and CBE.
d. a discussion of the value of early breast cancer detection.
e. community resources where they can obtain an ultrasound and
MRI.
2. In teaching a patient who wants to perform BSE, you inform her
that the technique involves both the palpation of the breast tissue
and
a. palpation of cervical lymph nodes.
b. hard squeezing of the breast tissue.
c. a mammogram to evaluate breast tissue.
d. inspection of the breasts for any changes.

3. You are caring for a young woman who has painful fibrocystic
breast changes. Management of this patient would include
a. scheduling a biopsy to rule out malignant changes.
b. teaching that symptoms will probably subside if she stops using
oral contraceptives.
c. preparing her for surgical removal of the lumps, since they will
become larger and more painful.
d. explaining that restrictions of coffee and chocolate and supplements of vitamin E may relieve some discomfort.
4. When discussing risk factors for breast cancer with a group of
women, you emphasize that the greatest known risk factor for
breast cancer is
a. being a woman over age 60.
b. experiencing menstruation for 30 years or more.
c. using hormone therapy for 5 years for menopausal symptoms.
d. having a paternal grandmother with postmenopausal breast
cancer.
5. A patient with breast cancer has a lumpectomy with sentinel lymph
node dissection that is positive for cancer. You explain that, of the
other tests done to determine the risk for cancer recurrence or
spread, the results that support the more favorable prognosis are
(select all that apply)
a. well-differentiated tumor.
b. estrogen receptor–positive tumor.
c. overexpression of HER-2 cell marker.
d. involvement of two to four axillary nodes.
e. aneuploidy status from cell proliferation studies.
6. A modified radical mastectomy has been scheduled for your patient
with breast cancer. Postoperatively, to restore arm function on the
affected side, you would
a. apply heating pads or blankets to increase circulation.
b. place daily ice packs to minimize the risk of lymphedema.
c. teach passive exercises with the affected arm in a dependent
position.
d. emphasize regular exercises for the affected shoulder to increase
range of motion.
7. Preoperatively, to meet the psychologic needs of a woman scheduled for a modified radical mastectomy, you would
a. discuss the limitations of breast reconstruction.
b. include her significant other in all conversations.
c. promote an environment for expression of feelings.
d. explain the importance of regular follow-up screening.
8. To prevent capsular formation after breast reconstruction with
implants, teach the patient to
a. gently massage the area around the implant.
b. bind the breasts tightly with elastic bandages.
c. exercise the arm on the affected side to promote drainage.
d. avoid strenuous exercise until the implant has healed

Breast Disorders Discussion Assignment Essay

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