Question 1

The nurse explains that a breast tumor that is estrogen receptor positive (ER+)  is associated with

Accepted Answer

A)   faster tumor growth rates.
B)   longer survival.
C)   more aggressive behavior.
D)   poor response to hormonal manipulation.

Question 2

The nurse explains that the most frequent breast mass is

Accepted Answer

A)   carcinoma.
B)   fibroadenoma.
C)   fibrocystic disease.
D)   mastitis.

Question 3

In caring for a client with post-mastectomy breast reconstruction using a subpectoral implant, the nurse would stress that the client can prevent capsule formation by

Accepted Answer

A)   using daily heat applications.
B)   keeping the implant very soft.
C)   not wearing a bra until the implant drops.
D)   wearing a bra at all times. C

Question 4

A client is receiving chemotherapy with paclitaxel for breast cancer. A priority nursing intervention is to

Accepted Answer

A)   encourage the client to get adequate rest.
B)   monitor the client's safety.
C)   teach the client about the drug regimen.
D)   watch for drug side effects.

Question 5

The nursing care plan for a client receiving tamoxifen for the treatment of breast cancer would include

Accepted Answer

A)   assisting the client in coping with hot flashes.
B)   decreasing sodium intake.
C)   encouraging milk products to increase calcium intake.
D)   increasing fluid intake.

Question 6

For a client receiving cyclophosphamide (Cytoxan)  as part of chemotherapy for her breast cancer, the nurse would include the instruction to

Accepted Answer

A)   drink eight glasses of water daily.
B)   eat iron-rich foods.
C)   practice good skin care.
D)   take high-fiber laxatives.

Question 7

When the client asks the nurse when she can purchase a permanent breast prosthesis, the nurse explains that a prosthesis can be obtained when

Accepted Answer

A)   a year has passed.
B)   all the sutures and drains are removed.
C)   the client is discharged.
D)   the wound has healed completely.

Question 8

A young client has a breast lump that presents as a fluid-filled cyst and increases slightly in size premenstrually. The nurse would suspect the breast disorder of

Accepted Answer

A)   a cyst.
B)   a papilloma.
C)   carcinoma.
D)   ductal hyperplasia.

Question 9

When a client with stage I breast cancer asks the nurse about the usual treatment for her problem, the nurse would base an answer on the fact that

Accepted Answer

A)   breast-conserving surgery is appropriate at this stage.
B)   mastectomy is done as soon as possible.
C)   radiation and chemotherapy are used instead of surgery.
D)   radiation therapy is given before surgery.

Question 10

After a modified radical mastectomy, the action by the client that would indicate to the nurse that the client is developing a positive body image is

Accepted Answer

A)   asking about a prosthesis.
B)   looking at the incision.
C)   talking about her feelings.
D)   wearing make-up and her own nightgown.

Question 11

When a 25-year-old client asks the nurse how she can lower her risk of breast cancer, the nurse would suggest that the client

Accepted Answer

A)   have a mammogram every 2 years.
B)   increase her intake of leafy green vegetables.
C)   increase her intake of vitamin C.
D)   minimize intake of alcohol.

Question 12

The statement made by a client with fibrocystic disease that would indicate to the nurse a correct understanding of the disease is

Accepted Answer

A)   "If I give up coffee, it may get better."
B)   "It may get worse after menopause."
C)   "Pregnancy usually worsens the symptoms."
D)   "This can be treated with daily diuretics."

Question 13

In the discharge teaching plan for a client with breast augmentation, the nurse would explain that the client should

Accepted Answer

A)   avoid touching the breasts.
B)   perform full range-of-motion arm exercises a week after surgery.
C)   sleep on her back in a head-elevated position for a week.
D)   take aspirin for pain relief and to decrease inflammation.

Question 14

The client discovered a stone-hard lump during breast self-examination (BSE)  that has been determined to be confined to the lobular unit without permeating the basement membrane. Reinforcing the physician's explanation, the nurse would clarify that this type of tumor is

Accepted Answer

A)   intraductal carcinoma.
B)   infiltrating ductal carcinoma.
C)   lobular carcinoma in situ.
D)   tubular carcinoma.

Question 15

To help a client cope with the body image change caused by chemotherapy with doxorubicin, the nurse suggests that the client

Accepted Answer

A)   begin an exercise routine.
B)   get fitted for a good prosthesis.
C)   obtain a wig before hair is lost.
D)   purchase some new clothes. C

Question 16

In a client receiving chemotherapy for breast cancer, the nurse would assess for

Accepted Answer

A)   back pain.
B)   confusion.
C)   infection.
D)   weight gain.

Question 17

A nurse is teaching women about health promotion measures related to breast cancer. The woman the nurse would advise is at higher risk and should be sure to engage in breast cancer screening activities is the woman who

Accepted Answer

A)   began menstruation at an early age.
B)   experienced menopause at an early age.
C)   had five children.
D)   needed surgical removal of her ovaries at age 32. A

Question 18

A client diagnosed with early-stage breast cancer is to undergo radiation therapy along with a lumpectomy rather than mastectomy. In helping the client make her decision, the nurse would explain to the client that

Accepted Answer

A)   distant recurrence is seen more often with lumpectomy.
B)   effects are comparable between the two remedies.
C)   radiation therapy is not needed with mastectomy.
D)   radiation may cause a significant incidence of secondary malignancies.

Question 19

The nursing intervention that would best meet a client's mobility needs for the first 24 hours after modified radical mastectomy is

Accepted Answer

A)   encourage the client to touch the fingers to shoulders, extending arm fully.
B)   encourage the client to use the operative arm to brush her hair.
C)   maintain complete immobility of the operative arm for the first 24 hours.
D)   perform passive range-of-motion exercises with the operative arm.

Question 20

The nursing intervention that would receive the highest priority before discharge of a client following mastectomy is

Accepted Answer

A)   arrange for Reach for Recovery volunteer to visit.
B)   describe the plan for follow-up treatment and surveillance.
C)   discuss methods of improving self-image.
D)   share information about mastectomy support groups.

Exam 40: Management of Clients with Breast Disorders

The nurse explains that a breast tumor that is estrogen receptor positive (ER+) is associated with

Correct AnswerverifiedShow Answer

The nurse explains that the most frequent breast mass is

Correct AnswerverifiedShow Answer

In caring for a client with post-mastectomy breast reconstruction using a subpectoral implant, the nurse would stress that the client can prevent capsule formation by

Correct AnswerverifiedC

A client is receiving chemotherapy with paclitaxel for breast cancer. A priority nursing intervention is to

Correct AnswerverifiedShow Answer

The nursing care plan for a client receiving tamoxifen for the treatment of breast cancer would include

Correct AnswerverifiedShow Answer

For a client receiving cyclophosphamide (Cytoxan) as part of chemotherapy for her breast cancer, the nurse would include the instruction to

Correct AnswerverifiedShow Answer

When the client asks the nurse when she can purchase a permanent breast prosthesis, the nurse explains that a prosthesis can be obtained when

Correct AnswerverifiedShow Answer

A young client has a breast lump that presents as a fluid-filled cyst and increases slightly in size premenstrually. The nurse would suspect the breast disorder of

Correct AnswerverifiedShow Answer

When a client with stage I breast cancer asks the nurse about the usual treatment for her problem, the nurse would base an answer on the fact that

Correct AnswerverifiedShow Answer

After a modified radical mastectomy, the action by the client that would indicate to the nurse that the client is developing a positive body image is

Correct AnswerverifiedShow Answer

When a 25-year-old client asks the nurse how she can lower her risk of breast cancer, the nurse would suggest that the client

Correct AnswerverifiedShow Answer

The statement made by a client with fibrocystic disease that would indicate to the nurse a correct understanding of the disease is

Correct AnswerverifiedShow Answer

In the discharge teaching plan for a client with breast augmentation, the nurse would explain that the client should

Correct AnswerverifiedShow Answer

The client discovered a stone-hard lump during breast self-examination (BSE) that has been determined to be confined to the lobular unit without permeating the basement membrane. Reinforcing the physician's explanation, the nurse would clarify that this type of tumor is

Correct AnswerverifiedShow Answer

To help a client cope with the body image change caused by chemotherapy with doxorubicin, the nurse suggests that the client

Correct AnswerverifiedC

In a client receiving chemotherapy for breast cancer, the nurse would assess for

Correct AnswerverifiedShow Answer

A nurse is teaching women about health promotion measures related to breast cancer. The woman the nurse would advise is at higher risk and should be sure to engage in breast cancer screening activities is the woman who

Correct AnswerverifiedA

A client diagnosed with early-stage breast cancer is to undergo radiation therapy along with a lumpectomy rather than mastectomy. In helping the client make her decision, the nurse would explain to the client that

Correct AnswerverifiedShow Answer

The nursing intervention that would best meet a client's mobility needs for the first 24 hours after modified radical mastectomy is

Correct AnswerverifiedShow Answer

The nursing intervention that would receive the highest priority before discharge of a client following mastectomy is

Correct AnswerverifiedShow Answer

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified
C

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified
C

Correct Answer
verified

Correct Answer
verified
A

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified