Author Question: The nurse has palpated a lump in a female patient's right breast. The nurse documents this as a ... (Read 109 times)

newyorker26 · **on:** Jun 25, 2018

The nurse has palpated a lump in a female patient's right breast. The nurse documents this as a small, round, firm, distinct, lump located at 2 o'clock, 2 cm from the nipple. It is nontender and fixed.

No associated retraction of the skin or nipple, no erythema, and no axillary lymphadenopathy are observed. What information is missing from the documentation?
a.
Shape of the lump
b.
Consistency of the lump
c.
Size of the lump
d.
Whether the lump is solitary or multiple

Question 2

The nurse is preparing to teach a woman about BSE. Which statement by the nurse is correct?

a. BSE is more important than ever for you because you have never had any children.
b. BSE is so important because one out of nine women will develop breast cancer in her lifetime.
c. BSE on a monthly basis will help you become familiar with your own breasts and feel their normal variations.
d. BSE will save your life because you are likely to find a cancerous lump between mammograms.

eliasc0401 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: C
If the nurse feels a lump or mass, then he or she should note these characteristics: (1) location, (2) sizejudge in centimeters in three dimensions: width length thickness, (3) shape, (4) consistency, (5) motility, (6) distinctness, (7) nipple, (

the skin over the lump, (9) tenderness, and (10) lymphadenopathy.

Answer to Question 2

ANS: C
The nurse should stress that a regular monthly BSE will familiarize the woman with her own breasts and their normal variations. BSE is a positive step that will reassure her of her healthy state. While teaching, the nurse should focus on the positive aspects of BSE and avoid citing frightening mortality statistics about breast cancer, which may generate excessive fear and denial that can obstruct a woman's self-care actions.