Author Question: When using the accompanying illustration to teach a patient about breast self-examination, the nurse ... (Read 221 times)

piesebel · **on:** Jun 25, 2018

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

Question 2

The outpatient clinic receives telephone calls from four patients. Which patient should the nurse call back first?

a. 57-year-old with ductal ectasia who has sticky multicolored nipple discharge and severe nipple itching
b. 21-year-old with a family history of breast cancer who wants to discuss genetic testing for the BRCA gene
c. 40-year-old who still has left side chest and arm pain 2 months after a left modified radical mastectomy
d. 50-year-old with stage 2 breast cancer who is receiving doxorubicin (Adriamycin) and has ankle swelling and fatigue

leahm14 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: A
The upper outer quadrant is the location of most of the glandular tissue of the breast.

Answer to Question 2

ANS: D
Although all the patients have needs that the nurse should address, the patient who is receiving a cardiotoxic medication and has symptoms of heart failure should be assessed by the nurse first. BRCA testing may be appropriate for the 21-year-old, but it does not need to be done immediately. Chest and arm pain are normal up to 3 months after mastectomy. Nipple discharge and itching is a common finding with ductal ectasia.