NSG 219 Breast Problems, STIs, Reproductive Problems
LEWIS Questions With Complete Solutions
C. - ANSWER A nurse is planning a community program on breast cancer
screening guideline would include which recommendation about screening in
average risk women?
A. Women over age 55 should discontinue screening.
B. Women 40 to 45 should receive a clinical breast exam.
C. Women aged 45 to 54 years should get annual mammograms.
D. Women should have the option of beginning annual screening at age 35.
A. - ANSWER Which intervention would the nurse include in the plan of care for a
young woman with preductal mastitis?
A. Administer antibiotics as ordered.
B. Teach the woman about a breast biopsy.
C. Counsel her on the need for genetic breast cancer screening.
D. Explain the role of radiation therapy as a treatment alternative.
B, C, and D - ANSWER Which are considered risk factors for breast cancer in
women? (Select all that apply.)
A. Having menarche at age 17
B. Being a woman over age 60
C. Previous hisotry of ovarian cancer
D. Having a brother with breast cancer
E. Stopping oral contraceptives 15 years ago
A and B - ANSWER A patient with breast cancer has a lumpectomy with sentinel
lymph node biopsy 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-positve tumor
C. Overexpression of HER-2 cell marker
D. Involvement of 2 to 4 axillary nodes
E. Aneuploidy status from cell proliferation studies
, A. - ANSWER The nurse teaches a patient starting immune based therapy for
breast cancer that this treatment works by
A. Blocking HER-2 receptors
B. Increasing estrogen production
C. Increasing the number of macrophages
D. Preventing the production of aromatase
D. - ANSWER A priority in providing care for a patient who underwent
mastectomy includes
A. Teaching the patient to shower with cool water.
B. Measuring blood pressures in both upper extremities.
C. Instructing the patient to limit movement to promote healing.
D. Encouraging exercises to restore arm function on the affected side.
B. - ANSWER A patient with breast cancer who underwent mastectomy is asking
about reconstructive surgery. Which information would the nurse provide?
A. It can restore lactation.
B. Nipple sensation may not return.
C. The triceps muscle is used as a tissue flap for breast reconstruction.
D. Patients must wait 3 months after mastectomy before reconstruction can
begin.
A, B, D, and E - ANSWER The nurse planning a prevention program for sexually
transmitted infections (STIs) notes which factors are associated with the
increased incidence of STIs? (Select all that apply.)
A. Alcohol and drug use
B. Asymptomatic infections
C. Being upper middle class
D. Use of long-acting contraceptives
E. Being placed in a correctional facility
B. - ANSWER The nurse is reviewing treatment orders for a pregnant woman
diagnosed with chlamydia. What is most important to consider?
A. Infection may involve the throat or anus.
B. Doxycycline should not be used as treatment.
C. Symptoms of chlamydia are often absent in women.
D. Repeat testing is needed 3 months after treatment to ensure cure.
D. - ANSWER The nurse plans to include in the teaching plan for a patient with
herpes who is prescribed an antiviral agent that daily use of the medication
LEWIS Questions With Complete Solutions
C. - ANSWER A nurse is planning a community program on breast cancer
screening guideline would include which recommendation about screening in
average risk women?
A. Women over age 55 should discontinue screening.
B. Women 40 to 45 should receive a clinical breast exam.
C. Women aged 45 to 54 years should get annual mammograms.
D. Women should have the option of beginning annual screening at age 35.
A. - ANSWER Which intervention would the nurse include in the plan of care for a
young woman with preductal mastitis?
A. Administer antibiotics as ordered.
B. Teach the woman about a breast biopsy.
C. Counsel her on the need for genetic breast cancer screening.
D. Explain the role of radiation therapy as a treatment alternative.
B, C, and D - ANSWER Which are considered risk factors for breast cancer in
women? (Select all that apply.)
A. Having menarche at age 17
B. Being a woman over age 60
C. Previous hisotry of ovarian cancer
D. Having a brother with breast cancer
E. Stopping oral contraceptives 15 years ago
A and B - ANSWER A patient with breast cancer has a lumpectomy with sentinel
lymph node biopsy 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-positve tumor
C. Overexpression of HER-2 cell marker
D. Involvement of 2 to 4 axillary nodes
E. Aneuploidy status from cell proliferation studies
, A. - ANSWER The nurse teaches a patient starting immune based therapy for
breast cancer that this treatment works by
A. Blocking HER-2 receptors
B. Increasing estrogen production
C. Increasing the number of macrophages
D. Preventing the production of aromatase
D. - ANSWER A priority in providing care for a patient who underwent
mastectomy includes
A. Teaching the patient to shower with cool water.
B. Measuring blood pressures in both upper extremities.
C. Instructing the patient to limit movement to promote healing.
D. Encouraging exercises to restore arm function on the affected side.
B. - ANSWER A patient with breast cancer who underwent mastectomy is asking
about reconstructive surgery. Which information would the nurse provide?
A. It can restore lactation.
B. Nipple sensation may not return.
C. The triceps muscle is used as a tissue flap for breast reconstruction.
D. Patients must wait 3 months after mastectomy before reconstruction can
begin.
A, B, D, and E - ANSWER The nurse planning a prevention program for sexually
transmitted infections (STIs) notes which factors are associated with the
increased incidence of STIs? (Select all that apply.)
A. Alcohol and drug use
B. Asymptomatic infections
C. Being upper middle class
D. Use of long-acting contraceptives
E. Being placed in a correctional facility
B. - ANSWER The nurse is reviewing treatment orders for a pregnant woman
diagnosed with chlamydia. What is most important to consider?
A. Infection may involve the throat or anus.
B. Doxycycline should not be used as treatment.
C. Symptoms of chlamydia are often absent in women.
D. Repeat testing is needed 3 months after treatment to ensure cure.
D. - ANSWER The nurse plans to include in the teaching plan for a patient with
herpes who is prescribed an antiviral agent that daily use of the medication
