Ricci Chapter 6 - Test Bank - 4th
Edition Test Questions and All Correct
Answers.
1. The nurse is developing the discharge plan for a woman who has had a left-sided radical
mastectomy. The nurse is including instructions for ways to minimize lymphedema. Which
statement by the client indicates the need for additional instruction?
A. "I need to wear gloves when doing any gardening."
B. "Any blood pressures need to be taken in my right arm."
C. "I should wear clothing with elasticized sleeves."
D. "I need to avoid driving to and from work every day." - Answer Answer: C
Rationale: Lymphedema increases when there is obstruction to the lymph flow. Wearing
clothing
with elasticized sleeves would compress the extremity, possibly cause trauma, and obstruct the
flow, thus increasing the woman's risk. Wearing gloves when gardening and using the
unaffected
arm for blood pressure readings help to reduce the risk of injury and subsequent lymphedema.
Driving would have no effect on lymphedema.
2. The nurse determines that a woman has implemented prescribed therapy for her fibrocystic
breast disease when the client reports that she has eliminated which from her lifestyle?
A. caffeine
B. cigarettes
C. dairy products
D. sweets - Answer Answer: A
Rationale: Caffeine is a stimulant and eliminating it will help reduce symptoms of fibrocystic
breast disease. Cigarettes, dairy products, and sweets are not associated with symptoms of
fibrocystic breast disease.
3. A nurse has completed the assessment of a client. The nurse suspects that the client may
have
a malignant breast mass based on which finding?
A. painful lump
B. absence of dimpling
C. regularly shaped mass
, D. nipple retraction - Answer Answer: D
Rationale: Malignant breast masses typically are difficult to palpate, painless, irregularly shaped,
and immobile, with nipple retraction and skin dimpling.
4. A woman who has undergone a right-sided modified-radical mastectomy returns from
surgery.
Which nursing intervention would be most appropriate for the nurse to include in the client's
plan of care at this time?
A. Ask the client how she feels about having her breast removed.
B. Attach a sign above her bed to have BP, IV lines, and lab work in her right arm.
C. Encourage her to turn, cough, and deep breathe at frequent intervals.
D. Position her right arm below heart level. - Answer Answer: C
Rationale: Upon return from surgery, the nurse should encourage the client to turn, cough, and
deep breathe at frequent intervals, at least every 2 hours, to help expand collapsed alveoli, clear
inhalation anesthetic agents from the body, and prevent postoperative atelectasis and
pneumonia.
Asking the client how she feels about her breast removal should be done at a later time, when
she
is more alert and oriented and has had time to think about what has happened. The sign should
state that no BP, IV lines, and lab work should be done on the client's right arm. The right arm
should be elevated on a pillow to promote lymph drainage.
5. A 42-year-old woman is scheduled for a mammogram. Which statement would the nurse
include when teaching the woman about the procedure?
A. "The room will be darkened throughout the procedure."
B. "Each breast will be firmly compressed between two plates."
C. "Make sure to refrain from eating or drinking after midnight."
D. "A dye will be injected to highlight the breast tissue and its ducts." - Answer Answer: B
Rationale: A mammogram involves taking X-ray pictures of the breasts while they are
compressed between two plastic plates. There is no need to darken the room or to refrain from
eating or drinking after midnight. A ductography involves the injection of dye to highlight the
breast ducts.
6. During a clinical breast examination, the nurse palpates a well-defined, firm, mobile lump in a
60-year-old woman's left breast. The nurse notifies the primary care provider. What would the
nurse anticipate the care provider to prescribe next?
Edition Test Questions and All Correct
Answers.
1. The nurse is developing the discharge plan for a woman who has had a left-sided radical
mastectomy. The nurse is including instructions for ways to minimize lymphedema. Which
statement by the client indicates the need for additional instruction?
A. "I need to wear gloves when doing any gardening."
B. "Any blood pressures need to be taken in my right arm."
C. "I should wear clothing with elasticized sleeves."
D. "I need to avoid driving to and from work every day." - Answer Answer: C
Rationale: Lymphedema increases when there is obstruction to the lymph flow. Wearing
clothing
with elasticized sleeves would compress the extremity, possibly cause trauma, and obstruct the
flow, thus increasing the woman's risk. Wearing gloves when gardening and using the
unaffected
arm for blood pressure readings help to reduce the risk of injury and subsequent lymphedema.
Driving would have no effect on lymphedema.
2. The nurse determines that a woman has implemented prescribed therapy for her fibrocystic
breast disease when the client reports that she has eliminated which from her lifestyle?
A. caffeine
B. cigarettes
C. dairy products
D. sweets - Answer Answer: A
Rationale: Caffeine is a stimulant and eliminating it will help reduce symptoms of fibrocystic
breast disease. Cigarettes, dairy products, and sweets are not associated with symptoms of
fibrocystic breast disease.
3. A nurse has completed the assessment of a client. The nurse suspects that the client may
have
a malignant breast mass based on which finding?
A. painful lump
B. absence of dimpling
C. regularly shaped mass
, D. nipple retraction - Answer Answer: D
Rationale: Malignant breast masses typically are difficult to palpate, painless, irregularly shaped,
and immobile, with nipple retraction and skin dimpling.
4. A woman who has undergone a right-sided modified-radical mastectomy returns from
surgery.
Which nursing intervention would be most appropriate for the nurse to include in the client's
plan of care at this time?
A. Ask the client how she feels about having her breast removed.
B. Attach a sign above her bed to have BP, IV lines, and lab work in her right arm.
C. Encourage her to turn, cough, and deep breathe at frequent intervals.
D. Position her right arm below heart level. - Answer Answer: C
Rationale: Upon return from surgery, the nurse should encourage the client to turn, cough, and
deep breathe at frequent intervals, at least every 2 hours, to help expand collapsed alveoli, clear
inhalation anesthetic agents from the body, and prevent postoperative atelectasis and
pneumonia.
Asking the client how she feels about her breast removal should be done at a later time, when
she
is more alert and oriented and has had time to think about what has happened. The sign should
state that no BP, IV lines, and lab work should be done on the client's right arm. The right arm
should be elevated on a pillow to promote lymph drainage.
5. A 42-year-old woman is scheduled for a mammogram. Which statement would the nurse
include when teaching the woman about the procedure?
A. "The room will be darkened throughout the procedure."
B. "Each breast will be firmly compressed between two plates."
C. "Make sure to refrain from eating or drinking after midnight."
D. "A dye will be injected to highlight the breast tissue and its ducts." - Answer Answer: B
Rationale: A mammogram involves taking X-ray pictures of the breasts while they are
compressed between two plastic plates. There is no need to darken the room or to refrain from
eating or drinking after midnight. A ductography involves the injection of dye to highlight the
breast ducts.
6. During a clinical breast examination, the nurse palpates a well-defined, firm, mobile lump in a
60-year-old woman's left breast. The nurse notifies the primary care provider. What would the
nurse anticipate the care provider to prescribe next?
