Author Question: The nurse is conducting a focused interview for an adult female client who is experiencing breast ... (Read 134 times)

123654777 · **on:** Jun 25, 2018

The nurse is conducting a focused interview for an adult female client who is experiencing breast discomfort. The client states that the discomfort has increased over the last 6 months.

Upon assessment, the nurse notes that the client has round, mobile masses with smooth borders in all quadrants bilaterally. The client's last mammogram was conducted 6 months ago and the findings support the current assessment findings. Based on this data, which statement by the nurse is the most appropriate?
1. You will need to have a biopsy as your symptoms indicate cancer.
2. You will need to wear a bra that offers you more support.
3. You will need to increase your salt intake.
4. You should not worry about these findings.

Question 2

A female client asks the nurse when the best time is to perform self-breast examination (SBE). Which response by the nurse is the most appropriate?

1. If you are still menstruating the best time is about 5 days after your period begins each month.
2. If you are postmenopausal the best time is at the beginning of each month.
3. It doesn't really matter as long as you keep a record of when you perform the exam.
4. Your primary care provider can tell you when the best time is for you.

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

Answer to Question 1

Correct Answer: 2
The client's symptoms are indicative of fibrocystic breast disease. Wearing a supportive bra decreases the discomfort associated with this disease process. A biopsy would not be warranted until another mammogram is performed if the healthcare provider suspects carcinoma. A decrease in salt intake is recommended, not an increase. Telling the client not to worry is dismissive and not appropriate.

Answer to Question 2

Correct Answer: 1
For females who are still menstruating, 5 days after the period begins is the best time to perform SBE on a monthly basis since there is less hormonal influences on the breast tissue at this time, and it provides a consistent timetable for SBE. If the female is postmenopausal there is no benefit to performing SBE at the beginning of each month, as long as she performs SBE at the same time each month. It is not necessary for the primary care provider to set a schedule for the client to perform SBE.