While examining a 75-year-old woman, the nurse notices that the ...

[dollx]

While examining a 75-year-old woman, the nurse notices that the skin over her right breast is thickened and the hair follicles are exaggerated. This condition is known as:
 
  a. Dimpling.
  b. Retraction.
  c. Peau d'orange.
  d. Benign breast disease.

Question 2

When a breastfeeding mother is diagnosed with a breast abscess, which of these instructions from the nurse is correct? The mother needs to:
 
  a. Continue to nurse on both sides to encourage milk flow.
  b. Immediately discontinue nursing to allow for healing.
  c. Temporarily discontinue nursing on the affected breast, and manually express milk and discard it.
  d. Temporarily discontinue nursing on affected breast, but manually express milk and give it to the baby.

[Athena23]

Answer to Question 1

ANS: C
This condition is known as peau d'orange. Lymphatic obstruction produces edema, which thickens the skin and exaggerates the hair follicles. The skin has a pig-skin or orange-peel appearance, and this condition suggests cancer.

Answer to Question 2

ANS: C
With a breast abscess, the patient must temporarily discontinue nursing on the affected breast, manually express the milk, and then discard it. Nursing can continue on the unaffected side.