8/30/24, 10:52 Exam View - Chapter 65 - Ignatavicius: Medical-Surgical Nursing,
AM 10th Edi…
Chapter 65: Concepts of Care for Patients with Breast Disorders Ignatavicius: Medical-Surgical Nursing, 10th Edition
MULTIPLE CHOICE
1. The nurse is teaching a 45-year-old woman about her fibrocystic breast changes. Which statement by the client indicates a lack o
understanding?
a. “This condition will become malignant over time.”
b. “I understand that hormone-based drugs have serious adverse effects.”
c. “One cup of coffee in the morning should be enough for me.”
d. “This condition makes it more difficult to examine my breasts.”
ANS: A
Fibrocystic breast changes do not increase a woman’s chance of developing breast cancer. Hormone-based drugs can be used in
severe cases to suppress the over-secretion of estrogen. Serious adverse effects include thrombotic events and an increased risk fo
uterine cancer. Limiting caffeine intake may give relief for tender breasts. The fibrocystic changes to the breasts make it more
difficult to examine the breasts because of fibrotic changes and lumps.
DIF: Analyzing TOP: Integrated Process: Teaching/Learning
KEY: Breast disorders, Fibrocystic changes
MSC: Client Needs Category: Physiological Integrity: Physiological Adaptation
2. The nurse is examining a woman’s breast and notes multiple small mobile lumps. Which question would be most appropriate
for the nurse to ask?
a. “When was your last mammogram at the clinic?”
b. “How many cans of caffeinated soda do you drink in a day?”
c. “Do the small lumps seem to change with your menstrual period?”
d. “Do you have a first-degree relative who has breast cancer?”
ANS: C
The most appropriate question would be one that relates to benign lesions that usually change in response to hormonal changes
within a menstrual cycle. Reduction of caffeine in the diet has been shown to give relief in fibrocystic breast changes, but researc
has not found that it has a significant impact. Questions related to the client’s last mammogram or breast cancer history are not
related to the nurse’s assessment.
DIF: Applying TOP: Integrated Process: Nursing Process: Assessment
KEY: Breast disorders, Nursing assessment
MSC: Client Needs Category: Physiological Integrity: Physiological Adaptation
3. The nurse is working with a male client who has gynecomastia. What action by the nurse is most appropriate?
a. Teach the client to perform self-breast examination.
b. Review the plan for chemotherapy after surgery.
c. Educate him on the side effects of tamoxifen.
d. Assess his usual daily alcohol intake.
ANS: C
Gynecomastia is enlarged breast tissue in men. It is from an enlarged ridge of glandular breast tissue and is benign. The client doe
not need to perform SBE nor will he undergo chemotherapy. Tamoxifen is one drug used to treat the condition, so the nurse woul
educate the client on the medication. Alcohol is not related.
DIF: Applying TOP: Integrated Process: Teaching/Learning
KEY: Breast disorders, Gynecomastia
MSC: Client Needs Category: Physiological Integrity: Pharmacological and Parenteral Therapies
4. Which finding in a female client by the nurse would receive the highest priority for further diagnostics?
a. Tender moveable masses throughout the breast tissue
b. Nipple discharge without a palpable mass
c. Nontender fixed mass in the upper outer quadrant of the breast
d. Small, painful mass under warm reddened skin and nipple discharge
ANS: C
Malignant lesions are fixed, hard and irregularly shaped and this lesion would be the priority for further diagnostic study. The oth
lesions are benign breast disorders. The client with nipple discharge but no palpable mass most likely has intraductal papilloma.
The client who has nipple discharge but also has a mass under warm, red, edematous skin most likely has ductal ectasia.
DIF: Applying TOP: Integrated Process: Nursing Process: Analysis
KEY: Breast cancer, Nursing assessment
MSC: Client Needs Category: Safe and Effective Care Environment: Management of Care
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, 8/30/24, 10:52 Exam View - Chapter 65 - Ignatavicius: Medical-Surgical Nursing,
AM 10th Edi…
Copyright © 2021, Elsevier Inc. All rights reserved.
about:bl 2/
AM 10th Edi…
Chapter 65: Concepts of Care for Patients with Breast Disorders Ignatavicius: Medical-Surgical Nursing, 10th Edition
MULTIPLE CHOICE
1. The nurse is teaching a 45-year-old woman about her fibrocystic breast changes. Which statement by the client indicates a lack o
understanding?
a. “This condition will become malignant over time.”
b. “I understand that hormone-based drugs have serious adverse effects.”
c. “One cup of coffee in the morning should be enough for me.”
d. “This condition makes it more difficult to examine my breasts.”
ANS: A
Fibrocystic breast changes do not increase a woman’s chance of developing breast cancer. Hormone-based drugs can be used in
severe cases to suppress the over-secretion of estrogen. Serious adverse effects include thrombotic events and an increased risk fo
uterine cancer. Limiting caffeine intake may give relief for tender breasts. The fibrocystic changes to the breasts make it more
difficult to examine the breasts because of fibrotic changes and lumps.
DIF: Analyzing TOP: Integrated Process: Teaching/Learning
KEY: Breast disorders, Fibrocystic changes
MSC: Client Needs Category: Physiological Integrity: Physiological Adaptation
2. The nurse is examining a woman’s breast and notes multiple small mobile lumps. Which question would be most appropriate
for the nurse to ask?
a. “When was your last mammogram at the clinic?”
b. “How many cans of caffeinated soda do you drink in a day?”
c. “Do the small lumps seem to change with your menstrual period?”
d. “Do you have a first-degree relative who has breast cancer?”
ANS: C
The most appropriate question would be one that relates to benign lesions that usually change in response to hormonal changes
within a menstrual cycle. Reduction of caffeine in the diet has been shown to give relief in fibrocystic breast changes, but researc
has not found that it has a significant impact. Questions related to the client’s last mammogram or breast cancer history are not
related to the nurse’s assessment.
DIF: Applying TOP: Integrated Process: Nursing Process: Assessment
KEY: Breast disorders, Nursing assessment
MSC: Client Needs Category: Physiological Integrity: Physiological Adaptation
3. The nurse is working with a male client who has gynecomastia. What action by the nurse is most appropriate?
a. Teach the client to perform self-breast examination.
b. Review the plan for chemotherapy after surgery.
c. Educate him on the side effects of tamoxifen.
d. Assess his usual daily alcohol intake.
ANS: C
Gynecomastia is enlarged breast tissue in men. It is from an enlarged ridge of glandular breast tissue and is benign. The client doe
not need to perform SBE nor will he undergo chemotherapy. Tamoxifen is one drug used to treat the condition, so the nurse woul
educate the client on the medication. Alcohol is not related.
DIF: Applying TOP: Integrated Process: Teaching/Learning
KEY: Breast disorders, Gynecomastia
MSC: Client Needs Category: Physiological Integrity: Pharmacological and Parenteral Therapies
4. Which finding in a female client by the nurse would receive the highest priority for further diagnostics?
a. Tender moveable masses throughout the breast tissue
b. Nipple discharge without a palpable mass
c. Nontender fixed mass in the upper outer quadrant of the breast
d. Small, painful mass under warm reddened skin and nipple discharge
ANS: C
Malignant lesions are fixed, hard and irregularly shaped and this lesion would be the priority for further diagnostic study. The oth
lesions are benign breast disorders. The client with nipple discharge but no palpable mass most likely has intraductal papilloma.
The client who has nipple discharge but also has a mass under warm, red, edematous skin most likely has ductal ectasia.
DIF: Applying TOP: Integrated Process: Nursing Process: Analysis
KEY: Breast cancer, Nursing assessment
MSC: Client Needs Category: Safe and Effective Care Environment: Management of Care
about:bl 1/
, 8/30/24, 10:52 Exam View - Chapter 65 - Ignatavicius: Medical-Surgical Nursing,
AM 10th Edi…
Copyright © 2021, Elsevier Inc. All rights reserved.
about:bl 2/
