Assessing breast and lymphatic system questions and correct answers 2023/2024

Assessing breast and lymphatic system questions and correct answers 2023/2024 The nurse is examining the breast of a clinic client and palpates a lump. What would the nurse be sure to document about this lump? Select all that apply. - ANSWER - Consistency -Distinctness -Mobility Where are the acini cells located? - ANSWER Lobules of the breast When assessing the breast and lymphatics of the axillae, where would the nurse locate the central axillary nodes? - ANSWER High in the axillae at the top of the ribs Included in the subjective assessment of the breast are the client's statements about what? (Mark all that apply.) - ANSWER -Personal history -Surgeries -Nipple changes When performing a breast assessment on a clinic patient, the nurse practitioner notes scaly lesions that begin at the nipple and move toward a lump behind the nipple well. The NP would know that further assessment for what would be necessary? - ANSWER Paget's disease How should a nurse instruct a client to perform a self breast examination to most effectively cover the entire breast? - ANSWER Up and down pattern starting at the underarm and moving across the breast A 26-year-old female presents to the health care clinic for a yearly pap & physical exam. She tells the nurse that she has felt a few tender areas in the left breast that are only occasionally palpable. She drinks about 3 cups of coffee daily and an occasional soft drink with caffeine. Family history reveals a maternal aunt with breast cancer at age 75 years. Which nursing diagnosis can be confirmed from this data? - ANSWER Ineffective health maintenance A 23-year-old computer programmer comes to the office for an annual examination. She has recently become sexually active and wants to start oral contraception. Her only complaint is that the skin in her armpits has become darker. She states it looks like dirt; she scrubs her skin nightly with soap and water, but the colour stays. Her past medical symptoms consist of acne and mild obesity. Her periods have been irregular for 3 years. Her mother has type 2 diabetes and her father has high blood pr - ANSWER Acanthosis nigricans While palpating a client's nipples, the nurse notes a clear discharge from one breast. This unilateral discharge could best be explained by which of the following? Select all that apply. - ANSWER -Cancer of the breast -Fibrocystic disease -Benign intraductal papilloma During the breast examination of a client, the nurse notes an orange-peel or "peau d'orange" appearance of the skin of the breast. The nurse understands that this appearance of the skin is due to what type of breast condition? - ANSWER Metastatic disease The client reports to the nurse that she is concerned she has cancer as she has been experiencing clear discharge from her breasts. What is the best response of the nurse? - ANSWER "Do you take any medications?" A client has been found to have a breast lump and an ultrasound has been ordered. The client voices concerns to the nurse she is afraid of the painful testing she is going to endure. How should the nurse best respond? - ANSWER "This noninvasive test uses high frequency waves to determine if the mass is solid or cystic." The nurse is performing a breast examination. Which of the following findings are considered a common or concerning symptom? (Mark all that apply.) - ANSWER -Unusual nipple discharge -Rash -Change in shape -Breast discomfort -Edema What pattern of palpation is currently the best validated technique for detecting breast masses? - ANSWER Vertical strip pattern At puberty, the female breasts enlarge in response to estrogen and - ANSWER Progesterone What assessment findings would be expected for a woman that is 3 months pregnant? Select all that apply. - ANSWER -Enlarged breast -Darkened nipples -Nodular feeling breasts Which characteristic would support the determination that a client is at high risk for breast cancer? - ANSWER first degree relative with a history of either BRCA1 or BRCA2 mutation What information would the nurse include when educating a client concerning magnetic resonance imaging (MRI) as a screening for breast cancer? - ANSWER Specificity is such that false positive readings can occur. When examining the male breast, for what does the nurse inspect? Select all that apply. - ANSWER -Nipple drainage -Swelling in the nipple -Ulceration of the areola Breast self-examination is best when breasts are least congested and smallest. The nurse knows this would be what days of the menstrual cycle? - ANSWER 4 to 7 A nonpregnant female presents to the health care facility and reports the new onset of breast discharge. The nurse assesses the discharge to be milky in appearance without breast tenderness or masses. What additional data should the nurse obtain from this client? - ANSWER Prescribed medications such as antipsychotic agents A nurse teaches a group of young women about how to properly perform a self breast examination. How should the nurse explain the best time to perform the exam? - ANSWER Right after the menstrual flow stops The nurse is preparing to conduct a clinical breast examination of a patient. Current recommendation suggest that which pattern should be followed when assessing the breast tissue? - ANSWER Vertical strip A 44-year-old woman comes to the clinic complaining of severe dry skin in the area over her right nipple. She denies any trauma to the area. She noticed the skin change during a self-breast examination 2 months ago. She also admits that she had felt a lump under the nipple but kept putting off making an appointment. She does admit to 6 months of fatigue but no weight loss, weight gain, fever, or night sweats. Her past medical history is significant for hypothyroidism. She does not have a history - ANSWER Pagets disease Screening measures for breast cancer include all of the following except: - ANSWER Breast x-rays Which of the following are the four major axillary node groups? - ANSWER Pectoral, subscapular, lateral, central When inspecting the nipples, which of the following findings is unexpected? - ANSWER Retraction of the left nipple A 48-year-old woman has presented to her primary care provider concerned about the recent detection of a mass in her left breast. The mass is tender on palpation, and the nurse notes that it is round, well-delineated, and mobile. There is no evidence of nipple retraction on inspection. Which of the following breast masses would the nurse first suspect? - ANSWER Cyst During the physical examination of a client, a nurse notes that the client has tenderness of the breasts. Which question should the nurse ask the client with regard to this finding? - ANSWER "Are you taking oral contraceptive pills?" During the physical examination of a female client, the nurse notes that the client's axillary lymph nodes are enlarged, hard, and fixed. The nurse recognizes that these findings are consistent with what disease process? - ANSWER Malignancy How should a nurse instruct a client to perform a breast self-examination to most effectively cover the entire breast? - ANSWER Up-and-down pattern starting at the underarm and moving across the breas While interviewing a client, the nurse asks her what her typical daily diet consists of. Which of the following is associated with an increased risk for breast cancer? - ANSWER High fat diet The nurse is working with a community group to set up teaching programs to increase awareness among African American women about preventive screening techniques for breast cancer. In the teaching program, the nurse should plan to include - ANSWER breast cancer patients of the same race