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Reproductive--Lippincott Breast
Cancer Latest Questions and
Graded Answers
21. A postmenopausal woman is worried about pain in the
upper outer quadrant of her
left breast. The nurse's first course of action is to:
1. Do a breast examination and report the results to the
physician.
2. Explain that pain is caused by hormonal fluctuations.
3. Reassure the client that pain is not a symptom of breast
cancer.
4. Teach the client the correct procedure for breast self-
examination (BSE).
Ans: 21. 1. This information warrants the nurse's
performing an examination and reporting the
results to the physician. Hormone fluctuations do
cause breast discomfort, but an examination must be
done at this time to assess the breast. Although pain
is not common with
breast cancer, it can be a symptom. Teaching the
client to perform a breast exam is
important, but it is not the priority action in this
case.
22. The nurse teaches a female client that the best time in the
menstrual cycle to examine
the breasts is during the:
1. Week that ovulation occurs.
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2. Week that menstruation occurs.
3. First week after menstruation.
4. Week before menstruation occurs.
Ans: 22. 3 . It is generally recommended that the
breasts be examined during the first week
after menstruation. During this time, the breasts are
least likely to be tender or swollen
because estrogen is at its lowest level. Therefore, the
examination will be more comfortable
for the client. The examination may also be more
accurate because the client is more likely
to notice an actual change in her breast that is not
simply related to hormonal changes.
23. A female with bilateral breast implants asks if she still
needs to do breast
examinations because she does not know what to feel for.
Which of the following is the
nurse's best response?
1. "Have your partner assess your breasts on a regular
basis."
2. "I will show you the correct technique as I do the breast
examination."
3. "A breast examination is very difficult when you have had
implant surgery."
4. "You need to have a mammogram instead."
Up to Date Content
Reproductive--Lippincott Breast
Cancer Latest Questions and
Graded Answers
21. A postmenopausal woman is worried about pain in the
upper outer quadrant of her
left breast. The nurse's first course of action is to:
1. Do a breast examination and report the results to the
physician.
2. Explain that pain is caused by hormonal fluctuations.
3. Reassure the client that pain is not a symptom of breast
cancer.
4. Teach the client the correct procedure for breast self-
examination (BSE).
Ans: 21. 1. This information warrants the nurse's
performing an examination and reporting the
results to the physician. Hormone fluctuations do
cause breast discomfort, but an examination must be
done at this time to assess the breast. Although pain
is not common with
breast cancer, it can be a symptom. Teaching the
client to perform a breast exam is
important, but it is not the priority action in this
case.
22. The nurse teaches a female client that the best time in the
menstrual cycle to examine
the breasts is during the:
1. Week that ovulation occurs.
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2. Week that menstruation occurs.
3. First week after menstruation.
4. Week before menstruation occurs.
Ans: 22. 3 . It is generally recommended that the
breasts be examined during the first week
after menstruation. During this time, the breasts are
least likely to be tender or swollen
because estrogen is at its lowest level. Therefore, the
examination will be more comfortable
for the client. The examination may also be more
accurate because the client is more likely
to notice an actual change in her breast that is not
simply related to hormonal changes.
23. A female with bilateral breast implants asks if she still
needs to do breast
examinations because she does not know what to feel for.
Which of the following is the
nurse's best response?
1. "Have your partner assess your breasts on a regular
basis."
2. "I will show you the correct technique as I do the breast
examination."
3. "A breast examination is very difficult when you have had
implant surgery."
4. "You need to have a mammogram instead."
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