A patient newly diagnosed with stage I breast cancer is ...

[go.lag]

A patient newly diagnosed with stage I breast cancer is discussing treatment options with the nurse. Which statement by the patient indicates that additional teaching may be needed?
 
  a. There are several options that I can consider for treating the cancer.
  b. I will probably need radiation to the breast after having the surgery.
  c. Mastectomy is the best choice to decrease the chance of cancer recurrence.
  d. I can probably have reconstructive surgery at the same time as a mastectomy.

Question 2

After a 48-year-old patient has had a modified radical mastectomy, the pathology report identifies the tumor as an estrogen-receptor positive adenocarcinoma. The nurse will plan to teach the patient about
 
  a. estradiol (Estrace).
  b. raloxifene (Evista).
  c. tamoxifen (Nolvadex).
  d. trastuzumab (Herceptin).

[choc0chan]

Answer to Question 1

ANS: C
The survival rates with lumpectomy and radiation or modified radical mastectomy are comparable. The other patient statements indicate a good understanding of stage I breast cancer treatment.

Answer to Question 2

ANS: C
Tamoxifen is used for estrogen-dependent breast tumors in premenopausal women. Raloxifene is used to prevent breast cancer, but it is not used postmastectomy to treat breast cancer. Estradiol will increase the growth of estrogen-dependent tumors. Trastuzumab is used to treat tumors that have the HER-2 receptor.

[go.lag]

Thanks for the timely response, appreciate it

[ricroger]

TYSM