NUR 2102 Module 5 (Info for Final) Latest Update Graded A+

NUR 2102 Module 5 (Info for Final) Latest Update Graded A+ In teaching a patient about breast self-examination, why does the nurse emphasize palpation of the axillary areas? a. Because deep muscles in that area can mask changes b. Because some patients avoid this area because of tenderness c. Because most lymph draining from the breast flows through this area d. Because supporting ligaments in this area may present as tissue changes c. Because most lymph draining from the breast flows through this area Because most lymph draining from the breast flows through this area. More than 75% of lymph drainage from the breast flows outward toward the axillary lymph node. Because deep muscles in that area can mask changes. This answer is incorrect. Palpating the axilla for enlarged lymph nodes is very important. Because some patients avoid this area because of tenderness. This answer is incorrect. Palpating the axilla for enlarged lymph nodes is very important. Because supporting ligaments in this area may present as tissue changes. This answer is incorrect. Palpating the axilla for enlarged lymph nodes is very important. In reviewing the charts of several patients in the clinic, a nurse recognizes which patient as being at highest risk of breast cancer? a. A woman who had her first child at age 26 b. A woman who reached menopause at age 58 c. A woman who breastfed all four of her children d. A woman who states that she reached menarche at age 14 b. A woman who reached menopause at age 58 A woman who reached menopause at age 58. A long menstrual history (menopause after age 50) increases risk. A woman who had her first child at age 26 has a low risk. A woman who breastfed all four of her children has a low risk. A woman who states that she reached menarche at age 14 has a low risk because the menarche was after 12 years of age. While giving a presentation about breast health, a nurse informs patients about which recommendation? a. Women in their 30s should have annual clinical breast examinations. b. Women at high risk of breast cancer should have semiannual mammograms. c. Women who are postmenopausal require clinical breast examination every 5 years. d. A screening mammogram is recommended for all women beginning at age 50 years. d. A screening mammogram is recommended for all women beginning at age 50 years. Option D is the recommendation of the U.S. Preventive Services Task Force. Clinical breast examinations are recommended as part of a periodic health examination at least every 3 years for average-risk, asymptomatic women in their 20s and 30s, and annually for asymptomatic women age 40 and older. Having semiannual mammograms is more often than necessary. Clinical breast examinations are recommended as part of a periodic health examination at least every 3 years for average-risk, asymptomatic women in their 20s and 30s, and annually for asymptomatic women age 40 and older. Based on the history, a nurse determines that the patient with which finding requires further assessment? a. Occasional discharge from nipples b. Supernumerary nipples along the milk line c. Rash in the axillae associated with change in deodorant d. Mild breast swelling that fluctuates with the menstrual cycle a. Occasional discharge from nipples Nipple discharge is usually an abnormal finding. A specimen of the discharge should be collected. Supernumerary nipples along the milk line are a normal finding in some women. A rash in the axillae associated with change in deodorant can be solved by changing deodorant and treating the rash. Mild breast swelling that fluctuates with the menstrual cycle is consistent with fibrocystic breast disease. During a breast examination of a healthy female, the nurse recognizes which finding as normal? a. Asymmetrical venous pattern b. Unequal nipple size c. Supernumerary nipples along the milk line d. Pink discharge from one nipple when manipulated c. Supernumerary nipples along the milk line Supernumerary nipples are considered a normal variation, although they are uncommon. The venous patterns should be bilaterally similar. Nipple size should be symmetric. Nipple discharge is usually considered an abnormal finding. A patient comes to the clinic complaining of a new onset of nipple discharge. After inspection of the breast and discharge, what action of the nurse has the highest priority? a. Palpating both breasts comparing amount of discharge b. Asking the patient about breast pain c. Asking the patient to raise her arms and comparing the movement of the breasts d. Obtaining a specimen of the discharge for cytology d. Obtaining a specimen of the discharge for cytology If a patient has nipple discharge, a specimen should be collected for cytologic examination to detect malignant cells. Getting a specimen is more important than palpating breasts at this time. Asking the patient about breast pain is not a priority action at this time. Asking the patient to raise her arms and comparing the movement of the breasts is not a priority action at this time. What is the purpose of asking a female to lean forward during the breast examination? a. To accentuate the Montgomery glands b. To observe for symmetry of the suspensory ligaments c. To compare nipple symmetry d. To identify any breast masses in the subcutaneous tissues