HESI Case Study - Breast Cancer Exam Questions with Correct Answers 100% Verified|
Guaranteed Success
Which nursing intervention best promotes effective communication? Teach the client's
family that even women with no identified risk factors are at risk.
The client's family member states that she will schedule a mammogram and she asks the nurse
if it will be painful. How should the nurse respond? Show the client's family what most
women say causes the discomfort during a mammogram.
Therapeutic Communication
A mass is seen on the client's mammogram, and a follow-up stereotactic core needle biopsy is
performed. The tumor specimen is found to be cancerous. The client learns that she has a
cancerous tumor requiring surgery. She tells the nurse that this is a mistake. She is insistent her
specimen was mixed up with someone else's.
Which nursing intervention best promotes effective communication? Tell the client feelings
of disbelief are understandable.
The client goes on to say that she can control this with exercising and a change in her eating
habits. Which nursing intervention best promotes effective communication in reply to the
client's solution? Confirm with the client her hesitation to discuss the need for surgery.
Ethical-Legal Issues in Preoperative Care
The client decides to have surgery and is scheduled for a modified radical mastectomy with
immediate abdominal myocutaneous flap reconstruction. A modified radical mastectomy
involves removal of breast tissue and lymph nodes, but it conserves the pectoralis major
muscle. The reconstruction involves the use of a flap of skin and muscle from the abdomen to
create a breast mound.The client arrives at the surgery center 2 hours before her scheduled
surgery. The nurse confirms the client's NPO status. The client states she had a cracker this
morning just before coming to the surgery center. She informs the nurse that she is so nervous
, about the surgery and may back out if she is unable to have it today. The client asks the nurse
not to tell anyone about the cracker.
What action is most important for the nurse to take? Tell the client that to ensure her
safety, the surgeon will need to be notified about the cracker.
Which ethical principle has the greatest weight in the nurse's decision to inform the client's
surgeon about the snack? Nonmaleficence.
The nurse confirms that the client has signed the informed consent for surgery but learns that
the client does not understand the procedure for breast reconstruction that is to be performed.
What action should the nurse implement? Notify the surgeon that further explanation of
the procedure is necessary.
Post-Mastectomy Nursing Management
After surgery, the client is admitted to the Post Anesthesia Care Unit (PACU) for immediate
postoperative management.
Which nursing actions have the highest priority in the initial postoperative period? (Select all
that apply.) Observe the wound drainage system.
Place head of the bed up at least 30 degrees with affected arm elevated on a pillow.
Place sign at head of bed alerting staff to avoid taking blood pressure in arm of operative side.
Submit
After the client is awake and stable, she is moved from the PACU to the medical-surgical unit.
The nurse observes the client performing wrist flexion and extension exercises 4 hours after
surgery.
Guaranteed Success
Which nursing intervention best promotes effective communication? Teach the client's
family that even women with no identified risk factors are at risk.
The client's family member states that she will schedule a mammogram and she asks the nurse
if it will be painful. How should the nurse respond? Show the client's family what most
women say causes the discomfort during a mammogram.
Therapeutic Communication
A mass is seen on the client's mammogram, and a follow-up stereotactic core needle biopsy is
performed. The tumor specimen is found to be cancerous. The client learns that she has a
cancerous tumor requiring surgery. She tells the nurse that this is a mistake. She is insistent her
specimen was mixed up with someone else's.
Which nursing intervention best promotes effective communication? Tell the client feelings
of disbelief are understandable.
The client goes on to say that she can control this with exercising and a change in her eating
habits. Which nursing intervention best promotes effective communication in reply to the
client's solution? Confirm with the client her hesitation to discuss the need for surgery.
Ethical-Legal Issues in Preoperative Care
The client decides to have surgery and is scheduled for a modified radical mastectomy with
immediate abdominal myocutaneous flap reconstruction. A modified radical mastectomy
involves removal of breast tissue and lymph nodes, but it conserves the pectoralis major
muscle. The reconstruction involves the use of a flap of skin and muscle from the abdomen to
create a breast mound.The client arrives at the surgery center 2 hours before her scheduled
surgery. The nurse confirms the client's NPO status. The client states she had a cracker this
morning just before coming to the surgery center. She informs the nurse that she is so nervous
, about the surgery and may back out if she is unable to have it today. The client asks the nurse
not to tell anyone about the cracker.
What action is most important for the nurse to take? Tell the client that to ensure her
safety, the surgeon will need to be notified about the cracker.
Which ethical principle has the greatest weight in the nurse's decision to inform the client's
surgeon about the snack? Nonmaleficence.
The nurse confirms that the client has signed the informed consent for surgery but learns that
the client does not understand the procedure for breast reconstruction that is to be performed.
What action should the nurse implement? Notify the surgeon that further explanation of
the procedure is necessary.
Post-Mastectomy Nursing Management
After surgery, the client is admitted to the Post Anesthesia Care Unit (PACU) for immediate
postoperative management.
Which nursing actions have the highest priority in the initial postoperative period? (Select all
that apply.) Observe the wound drainage system.
Place head of the bed up at least 30 degrees with affected arm elevated on a pillow.
Place sign at head of bed alerting staff to avoid taking blood pressure in arm of operative side.
Submit
After the client is awake and stable, she is moved from the PACU to the medical-surgical unit.
The nurse observes the client performing wrist flexion and extension exercises 4 hours after
surgery.
