The upper outer quadrant is the location of most of the glandular tissue of the breast. -
ANS-28. When using the accompanying illustration to teach a patient about breast
self-examination, the nurse will include the information that most breast cancers are
located in which part of the breast?
a.1
b.2
c.3
d.4
e.5
ANS: A
This response shows sensitivity to the individual patients need for information about the
surgery. The other responses are also accurate, but the nurse should tailor patient
teaching to individual patient preferences - ANS-26. A patient who is scheduled for a
lumpectomy and axillary lymph node dissection tells the nurse, I would rather not know
much about the surgery. Which response by the nurse is best?
a.Tell me what you think is important to know about the surgery.
b.It is essential that you know enough to provide informed consent.
c.Many patients do better after surgery if they have more information.
d.You can wait until after surgery for teaching about pain management.
ANS: A
Tumor markers such as CA 15-3 are used to monitor response to treatment for breast
cancer, not to detect or diagnose breast cancer. The other tests are likely to be used for
additional diagnostic testing in a patient with breast cancer - ANS-15. A student nurse
prepares a list of teaching topics for a patient with a new diagnosis of breast cancer.
Which item should the charge nurse suggest that the student nurse omit from the
teaching topic list about breast cancer diagnostic testing?
a.CA 15-3 level testing
b.HER-2 receptor testing
c.Estrogen receptor testing
, d.Oncotype DX assay testing
ANS: A
A local anesthetic is given before stereotactic biopsy. NPO status is not needed
because no sedative drugs are given. The patient is placed in the prone position. A
biopsy gun is used to obtain the specimens. - ANS-14. Which information will the nurse
include in patient teaching for a 36-year-old patient who is scheduled for stereotactic
core biopsy of the breast?
a.A local anesthetic will be given before the biopsy specimen is obtained.
b.You will need to lie flat on your back and lie very still during the biopsy.
c.A thin needle will be inserted into the lump and aspirated to remove tissue.
d.You should not have anything to eat or drink for 6 hours before the procedure.
ANS: A
FNA is done in outpatient settings and results are available in 24 to 48 hours. No
incision is needed. FNA may be guided by ultrasound, but not by mammogram.
Because the immobility of the breast lump suggests cancer, further testing will be done
if the FNA is negative - ANS-3. A 51-year-old patient with a small immobile breast lump
is considering having a fine-needle aspiration (FNA) biopsy. The nurse explains that an
advantage to this procedure is that
a.FNA is done in the outpatient clinic and results are available in 1 to 2 days.
b.only a small incision is needed, resulting in minimal breast pain and scarring.
c.if the biopsy results are negative, no further diagnostic testing will be needed.
d.FNA is guided by a mammogram, ensuring that cells are taken from the lesion.
ANS: B
An area that is hot or pink suggests an infectious process such as mastitis, which would
require further assessment and treatment. The other information also will be reported,
but these findings are typical in fibrocystic breasts. - ANS-22. A 36-year-old who has a
diagnosis of fibrocystic breast changes calls the nurse in the clinic with symptoms.
Which is most important to report to the health care provider?
a.There is yellow-green discharge from the patients right nipple.
b.There is an area on the breast that is hot, pink, and tender to touch.
c.The lumps are firm and most are in the upper outer breast quadrants.
d.The lumps are larger and painful before the patients menstrual period.
ANS: B
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