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Breast Cancer - HESI Latest
Questions and Graded Answers
At the community education program, Chandra learns that
breast self-exam (BSE) is best performed 7 days after the
start of the menstrual flow when the breasts are least
engorged and tender. Since Chandra had a hysterectomy 5
years ago, she does not have periods. She asks the nurse if
she still needs to perform BSE, and so, when.
Ans: Select whatever day you can best remember to
perform BSE consistently every month
Chandra demonstrates BSE technique for the nurse using a
practice model. She uses her fingerpads and states that when
lying down, her arm should be relaxed at her side. What
instructions should the nurse provide?
Ans: When you are lying down, your arm should be
positioned over your head.
Another woman in the class said she had heard that there is
a genetic test that would diagnose breast cancer. What is the
best response by the nurse?
Ans: A positive test for the BRCA 1 mutation
identifies an increased risk for breast cancer, but is
not a certainty
While performing a BSE, Chandra discovers a lump.
After seeing her healthcare provider (HCP), Chandra is
scheduled for a mammogram. Chandra brings her 60 year
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old sister in law, Francie with her to the Women's Health
Center to learn about mammogram annually because she has
no risk factors for breast cancer, except that her father's
sister had breast cancer when she was 50.
What intervention should the nurse implement first?
Ans: Teach Francie that even women with no
identified risk factors are at risk
Francie states that she will schedule a mammogram and she
asks the nurse if the x-ray is painful. How should the nurse
respond?
Ans: You may experience some discomfort, but only
for a few minutes.
A mass is seen on Chandra's mammogram, and a follow-up
stereotactic core needle biopsy is performed. The tumor
specimen is found to be cancerous. Chandra learns that she
has a cancerous tumor requiring surgery. She tells the nurse,
"They make mistakes. I know that happens. My specimen
probably got switched with someone else's, right?"
Ans: "It's hard to believe that this is happening, isn't
it?"
Chandra goes on to say, "I can control this. I will start
exercising and I will change my eating habits That will take
care of it." How should the nurse respond?
Ans: "It sounds like you do not want to have
surgery."
Which nursing diagnosis should be reflected in Chandra's
plan of care?
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Breast Cancer - HESI Latest
Questions and Graded Answers
At the community education program, Chandra learns that
breast self-exam (BSE) is best performed 7 days after the
start of the menstrual flow when the breasts are least
engorged and tender. Since Chandra had a hysterectomy 5
years ago, she does not have periods. She asks the nurse if
she still needs to perform BSE, and so, when.
Ans: Select whatever day you can best remember to
perform BSE consistently every month
Chandra demonstrates BSE technique for the nurse using a
practice model. She uses her fingerpads and states that when
lying down, her arm should be relaxed at her side. What
instructions should the nurse provide?
Ans: When you are lying down, your arm should be
positioned over your head.
Another woman in the class said she had heard that there is
a genetic test that would diagnose breast cancer. What is the
best response by the nurse?
Ans: A positive test for the BRCA 1 mutation
identifies an increased risk for breast cancer, but is
not a certainty
While performing a BSE, Chandra discovers a lump.
After seeing her healthcare provider (HCP), Chandra is
scheduled for a mammogram. Chandra brings her 60 year
Up to Date Content
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old sister in law, Francie with her to the Women's Health
Center to learn about mammogram annually because she has
no risk factors for breast cancer, except that her father's
sister had breast cancer when she was 50.
What intervention should the nurse implement first?
Ans: Teach Francie that even women with no
identified risk factors are at risk
Francie states that she will schedule a mammogram and she
asks the nurse if the x-ray is painful. How should the nurse
respond?
Ans: You may experience some discomfort, but only
for a few minutes.
A mass is seen on Chandra's mammogram, and a follow-up
stereotactic core needle biopsy is performed. The tumor
specimen is found to be cancerous. Chandra learns that she
has a cancerous tumor requiring surgery. She tells the nurse,
"They make mistakes. I know that happens. My specimen
probably got switched with someone else's, right?"
Ans: "It's hard to believe that this is happening, isn't
it?"
Chandra goes on to say, "I can control this. I will start
exercising and I will change my eating habits That will take
care of it." How should the nurse respond?
Ans: "It sounds like you do not want to have
surgery."
Which nursing diagnosis should be reflected in Chandra's
plan of care?
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