Review Questions
1
.
What assessment finding suggests that a patient may have fibrocystic breast changes?
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green-tinged nipple discharge
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ongoing breast pain
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firm, ropy feel of the breast tissue under the skin
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peau d’orange appearance of the skin
2
.
What nursing intervention would the nurse include in the preoperative care plan for a patient scheduled for an outpatient lumpectomy of a fibroadenoma?
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Administer pain and antiemetic medications.
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Help the patient arrange for a cab home after the procedure.
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Advise the patient to avoid food or drink for 2 hours before surgery.
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Review discharge instructions.
3
.
What is a patient statement that indicates effective teaching after a new diagnosis of nonlactational mastitis?
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“I will avoid wearing a bra until I feel better.”
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“I should take steps to stop smoking cigarettes.”
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“Applying an ice pack to my breasts can help reduce pain.”
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“I should take the prescribed antibiotics until I feel better.”
4
.
What is a risk factor for breast cancer?
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menarche at age 15
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family history of diabetes
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alcohol use of at least 2 drinks per day
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history of three vaginal births by age 25
5
.
What information would the nurse include when teaching a patient about core needle biopsy?
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It can be performed with or without ultrasound guidance.
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Local anesthetic is not needed before this procedure.
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It is usually performed in the outpatient surgery center.
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A special dye is injected into the area around the tumor.
6
.
The nurse is caring for a patient receiving chemotherapy. What nursing intervention would they provide?
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Administer antibiotics.
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Administer antiemetics.
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Encourage physical activity after infusion.
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Encourage eating a large meal.
7
.
What type of mastectomy removes the entire breast but leaves the chest wall intact?
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total simple mastectomy
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modified radical mastectomy
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skin-sparing mastectomy
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nipple-sparing mastectomy
8
.
The nurse would advise the patient to report what symptom immediately during a PD-1 (checkpoint inhibitor) infusion?
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nausea
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fatigue
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dizziness
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diarrhea
9
.
What medication would the nurse include when teaching a patient about aromatase inhibitors?
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anastrozole (Arimidex)
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fulvestrant (Faslodex)
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tamoxifen (Novaldex)
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pembrolizumab (Keytruda)
10
.
What hormonal medication can be used in a premenopausal patient without the concurrent use of ovarian suppression?
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letrozole (Femara)
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exemestane (Aromasin)
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elacestrant (Orserdu)
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tamoxifen (Soltamox)