HESI Case Study - Breast Cancer Exam and Questions And Answers (Guaranteed A+)

©FYNDLAY EXAM SOLUTIONS 2024/2025 ALL RIGHTS RESERVED. 1 | P a g e HESI Case Study - Breast Cancer Exam and Questions And Answers (Guaranteed A+) At the community education program, the client learns that breast self-exam (BSE) is best performed 2-3 days after the start of the menstrual flow when the breasts are least engorged and tender. Since the client had a hysterectomy 5 years ago, she does not have periods. She asks the nurse if she still needs to perform BSE, and if so, when. - answerWhich nursing explanation best promotes effective communication? Select a day that is easy to remember to perform BSE consistently every month. The client 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? - answerDemonstrate how arm should be positioned behind or over the head. Another client 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? - answerA positive test for the BRCA1 mutation identifies an increased risk for breast cancer. ©FYNDLAY EXAM SOLUTIONS 2024/2025 ALL RIGHTS RESERVED. 2 | P a g e Diagnostic Testing While performing a BSE, the client discovers a lump.After seeing her healthcare provider (HCP), the client is scheduled for a mammogram. She brings a family member with her to the Women's Health Center to learn about mammograms. The client's family member tells the nurse that she does not need a mammogram annually because she has no risk factors for breast cancer, except that her father's sister had breast cancer. Which nursing intervention best promotes effective communication? - answerTeach 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? - answerShow 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. ©FYNDLAY EXAM SOLUTIONS 2024/2025 ALL RIGHTS RESERVED. 3 | P a g e Which nursing intervention best promotes effective communication? - answerTell 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? - answerConfirm 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.