Chapter 51: Breast Disorders - Lewis's Medical -Surgical Nursing, 11th Edition

1. What information should the nurse include when teaching a young women’s community service group about breast self-examination (BSE)? 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. ANS: 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. DIF: Cognitive Level: Apply (application) TOP: Nursing Process: Implementation MSC: NCLEX: Health Promotion and Maintenance 2. Which question is most pertinent for the nurse to ask a 43-yr-old patient about her risk for breast cancer? 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?” ANS: 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. DIF: Cognitive Level: Apply (application) TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity 3. A 51-yr-old patient with a small immobile breast lump is considering having a fine-needle aspiration (FNA) biopsy. What should the nurse explain as an advantage to this procedure? 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