Author Question: A patient who is scheduled for a lumpectomy and axillary lymph node dissection tells the nurse, I ... (Read 78 times)

newbem · **on:** Jun 25, 2018

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.

Question 2

The nurse notes bilateral enlargement of the breasts during examination of a 62-year-old man. Which action should the nurse take first?

a. Teach the patient how to palpate the breast tissue for lumps.
b. Question the patient about medications being currently used.
c. Refer the patient for mammography and biopsy of the breast tissue.
d. Explain that this is a temporary condition due to hormonal changes.

shewald78 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: A
This response shows sensitivity to the individual patient's need for information about the surgery. The other responses are also accurate, but the nurse should tailor patient teaching to individual patient preferences.

Answer to Question 2

ANS: B
The first action should be further assessment. Because gynecomastia is a possible side effect of drug therapy, asking about the current drug regimen is appropriate. The other actions may be needed, depending on the data that are obtained with further assessment.