A 37-year-old Nigerian woman is at high risk for breast cancer ...

[MirandaLo]

A 37-year-old Nigerian woman is at high risk for breast cancer and is considering a prophylactic mastectomy and oophorectomy. What action by the nurse is most appropriate?
 
  a. Discourage this surgery since the woman is still of childbearing age.
  b. Reassure the client that reconstructive surgery is as easy as breast augmentation.
  c. Inform the client that this surgery removes all mammary tissue and cancer risk.
  d. Include support people, such as the male partner, in the decision making.

Question 2

With a history of breast cancer in the family, a 48-year-old female client is interested in learning about the modifiable risk factors for breast cancer.
 
  After the nurse explains this information, which statement made by the client indicates that more teaching is needed?
  a.
  I am fortunate that I breast-fed each of my three children for 12 months.
  b.
  It looks as though I need to start working out at the gym more often.
  c.
  I am glad that we can still have wine with every evening meal.
  d.
  When I have menopausal symptoms, I must avoid hormone replacement therapy.

[shewald78]

Answer to Question 1

ANS: D
The cultural aspects of decision making need to be considered. In the Nigerian culture, the man often makes the decisions for care of the female. Women with a high risk for breast cancer can consider prophylactic surgery. If reconstructive surgery is considered, the procedure is more complex and will have more complications compared to a breast augmentation. There is a small risk that breast cancer can still develop in the remaining mammary tissue.

Answer to Question 2

ANS: C
Modifiable risk factors can help prevent breast cancer. The client should lessen alcohol intake and not have wine 7 days a week. Breast-feeding, regular exercise, and avoiding hormone replacement are also strategies for breast cancer prevention.

[MirandaLo]

Gracias!

[bassamabas]

TYSM