Chapter 51: Breast Disorders
D
Performing BSE at the end of the menstrual period will reduce the breast tenderness
associated with the procedure. The evidence is not clear that BSE reduces mortality
from breast cancer. BSE should be done monthly. Annual mammograms are not
routinely scheduled for women younger than age 40 years, and newer guidelines
suggest delaying them until age 50. - ANS-The nurse teaching a young women's
community service group about breast self-
examination (BSE) will include that
a. BSE will reduce the risk of dying from breast cancer.
b. BSE should be done daily while taking a bath or shower.
c. annual mammograms should be scheduled in addition to BSE.
d. performing BSE after the menstrual period is more comfortable.
C
Early menarche and late menopause are risk factors for breast cancer because of the
prolonged exposure
to estrogen that occurs. Cigarette smoking, breast trauma, and fibrocystic breast
changes are not
associated with increased breast cancer risk. - ANS-During a well-woman physical
examination, a 43-yr-old patient asks about her risk for
breast cancer. Which question is most pertinent for the nurse to ask?
a. "Do you currently smoke tobacco?"
b. "Have you ever had a breast injury?"
c. "At what age did you start having menstrual periods?"
d. "Is there a family history of fibrocystic breast changes?"
A
, FNA is done in outpatient settings, and results are available in 24 to 48 hours. No
incision is needed. FNA
may be guided by ultrasound but not by mammogram. Because the immobility of the
breast lump suggests cancer, further testing will be done if the FNA results are negative.
- ANS-A 51-yr-old patient with a small immobile breast lump is considering having a
fine-
needle aspiration (FNA) biopsy. The nurse explains that an advantage to this procedure
is that
a. FNA is done in the outpatient clinic, and results are available in 1 to 2 days.
b. only a small incision is needed, resulting in minimal breast pain and scarring.
c. if the biopsy results are negative, no further diagnostic testing will be needed.
d. FNA is guided by a mammogram, ensuring that cells are taken from the lesion.
B
Painless and fixed lumps suggest breast cancer. The other findings are more
suggestive of benign processes such as fibrocystic breasts and fibroadenoma. -
ANS-Which assessment finding in a 36-yr-old patient is most indicative of a need for
further evaluation?
a. Bilateral breast nodules that are tender with palpation
b. A breast nodule that is 1 cm in size, nontender, and fixed
c. A breast lump that increases in size before the menstrual period
d. A breast lump that is small, mobile, with a rubbery consistency
C
Because HT has been linked to increased risk for breast cancer, the patient and health
care provider must determine whether or not to use HT. Breast cancer incidence is
increased in women using HT, independent of other risk factors. HT increases the risk
for both non-BRCA-associated cancer and BRCA-
D
Performing BSE at the end of the menstrual period will reduce the breast tenderness
associated with the procedure. The evidence is not clear that BSE reduces mortality
from breast cancer. BSE should be done monthly. Annual mammograms are not
routinely scheduled for women younger than age 40 years, and newer guidelines
suggest delaying them until age 50. - ANS-The nurse teaching a young women's
community service group about breast self-
examination (BSE) will include that
a. BSE will reduce the risk of dying from breast cancer.
b. BSE should be done daily while taking a bath or shower.
c. annual mammograms should be scheduled in addition to BSE.
d. performing BSE after the menstrual period is more comfortable.
C
Early menarche and late menopause are risk factors for breast cancer because of the
prolonged exposure
to estrogen that occurs. Cigarette smoking, breast trauma, and fibrocystic breast
changes are not
associated with increased breast cancer risk. - ANS-During a well-woman physical
examination, a 43-yr-old patient asks about her risk for
breast cancer. Which question is most pertinent for the nurse to ask?
a. "Do you currently smoke tobacco?"
b. "Have you ever had a breast injury?"
c. "At what age did you start having menstrual periods?"
d. "Is there a family history of fibrocystic breast changes?"
A
, FNA is done in outpatient settings, and results are available in 24 to 48 hours. No
incision is needed. FNA
may be guided by ultrasound but not by mammogram. Because the immobility of the
breast lump suggests cancer, further testing will be done if the FNA results are negative.
- ANS-A 51-yr-old patient with a small immobile breast lump is considering having a
fine-
needle aspiration (FNA) biopsy. The nurse explains that an advantage to this procedure
is that
a. FNA is done in the outpatient clinic, and results are available in 1 to 2 days.
b. only a small incision is needed, resulting in minimal breast pain and scarring.
c. if the biopsy results are negative, no further diagnostic testing will be needed.
d. FNA is guided by a mammogram, ensuring that cells are taken from the lesion.
B
Painless and fixed lumps suggest breast cancer. The other findings are more
suggestive of benign processes such as fibrocystic breasts and fibroadenoma. -
ANS-Which assessment finding in a 36-yr-old patient is most indicative of a need for
further evaluation?
a. Bilateral breast nodules that are tender with palpation
b. A breast nodule that is 1 cm in size, nontender, and fixed
c. A breast lump that increases in size before the menstrual period
d. A breast lump that is small, mobile, with a rubbery consistency
C
Because HT has been linked to increased risk for breast cancer, the patient and health
care provider must determine whether or not to use HT. Breast cancer incidence is
increased in women using HT, independent of other risk factors. HT increases the risk
for both non-BRCA-associated cancer and BRCA-
