Exam Bank for Breast Cancer- Questions Solved Correctly Latest Update ()

Exam Bank for Breast Cancer- Questions Solved Correctly Latest Update () The nurse is caring for a group of breast cancer survivors post mastectomy. When developing a list of instructions of points to avoid, which point is highlighted? a) Applying cream to breast b) Arm exercises on affected side c) Wearing loose fitting shirts d) No lifting greater than 15 lb - Answers d) No lifting greater than 15 lb Correct Explanation: Of the list citing things to avoid, the correct option to avoid is lifting more than 15 lb. This fact is important and needs to be highlighted. Tight-fitting or constrictive clothing is to be avoided. The client is encouraged to place cream on any area of the breast which is dry. Arm exercises are routinely completed on the affected arm. A client complains of having tender and painful breasts, often feeling multiple lumps within her breast tissue. The nurse would need to gather additional information about which of the following? a) Client's workplace in relation to the surroundings b) Timing of symptoms in relation to the menstrual cycle c) Bathing frequency and living surroundings d) Alcohol and caffeine consumption - Answers Timing of symptoms in relation to the menstrual cycle Considering that the client has tender and painful breasts and that she often feels lumps within her breast tissue, it is most likely that she suffers from fibrocystic breast disease. To confirm these findings, the nurse should ask relevant questions about the characteristics and timing of symptoms in relation to the menstrual cycle. Symptoms of fibrocystic breast disease are noticeable before menstruation and usually abate during menstruation. The size of the cyst becomes larger before menstruation and often changes with the menstrual cycle. The nurse should further ask the client about her habits of smoking and consuming coffee, chocolate, and caffeinated soft drinks, not alcohol, because they aggravate the condition. Workplace surroundings or cleanliness habits do not matter because fibrocystic breast disease is not infectious. A 67-year-old client underwent a lumpectomy for a breast lesion that was determined to be malignant. Which of the following are factors in the client's history that may have increased her risk of breast cancer? a) Not giving birth b) Obesity c) Increased age d) All options are correct. - Answers All options are correct. The risk for breast cancer in women increases with age. Certain factors appear to increase the risk of breast cancer. Being female, being older than 50 years of age, and having a family history of breast cancer are the most common risk factors. Additional factors include obesity, and having no children or having children after 30 years of age. The risk for breast cancer in women increases with age. Certain factors appear to increase the risk of breast cancer including obesity and having no children or having children after 30 years of age. A client returns to the recovery room following a mastectomy. An initial postoperative assessment is performed by the nurse. What is the nurse's priority assessment? a) Checking level of pain first upon the clients return from the operating room. b) Assessing the vital signs and oxygen saturation levels. c) Checking for urinary retention and the need to void. d) Checking the dressing, drain, and amount of drainage. - Answers Assessing the vital signs and oxygen saturation levels. The nurse prioritizes vital signs and breathing based on principles of ABCs. A 43-year-old client is a single parent and has been admitted for a left mastectomy after confirmation of cancer from a node biopsy. She has a daughter who is 12 years old. What are primary issues for the nurse to discuss with this client? a) Effect of surgery on the family's coping abilities. b) History of breast cancer in the family. c) How body image changes will affect her sexual relationships. d) Concerns regarding the cancer and how the surgery will affect her. - Answers Concerns regarding the cancer and how the surgery will affect her. The two primary concerns are the confirmation of cancer and the impending mastectomy. The other issues are important, but not as high a priority at this time. A nurse is caring for a client who has just had a modified radical mastectomy with immediate reconstruction. She's in her 30s and has two young children. Although she's worried about her future, she seems to be adjusting well to her diagnosis. What should the nurse do to support her coping? a) Encourage the client to proceed with the next phase of treatment. b) Tell the client's spouse or partner to be supportive while she recovers. c) Recommend that the client remain cheerful for the sake of her children. d) Refer the client to the American Cancer Society's Reach for Recovery program or another support program. - Answers Refer the client to the American Cancer Society's Reach for Recovery program or another support program. The client isn't withdrawn and doesn't show other signs of anxiety or depression. Therefore, the nurse can probably safely approach her about talking with others who have had similar experiences, either through Reach for Recovery or another formal support group. The nurse may educate the client's spouse or partner and listen to his concerns, but the nurse shouldn't tell the client's spouse what to do. The client must consult with her physician and make her own decisions about further treatment. The client needs to express her sadness, frustration, and fear. She can't be expected to be cheerful at all times. Students are reviewing information about the use of adjuvant hormonal therapy for breast cancer. They demonstrate understanding of this information when they id