The nurse is performing a breast assessment of an Asian adult ...

[bio_gurl]

The nurse is performing a breast assessment of an Asian adult female. Which action should the nurse complete first?
 
  1. Ask the client if she has ever had any breast disease such as cancer of the breast, fibrocystic disease, or fibroadenoma.
  2. Ask the client to disrobe from the waist up and place a gown on with the opening to the front.
  3. Ask the client if she has noticed any changes in her breasts such as lumps, thickening, or discharge from the nipples.
  4. Ask the client how she feels about her breasts.

Question 2

The nurse is evaluating the risk for metastasis after a client is diagnosed with breast cancer. Which lymph node involvement would indicate the greatest likelihood of metastasis for this client?
 
  1. A.
  2. B.
  3. C.
  4. D.

[jharrington11]

Answer to Question 1

Correct Answer: 3
Asking the client if she has noticed any changes in her breasts may open up rapport with this client. Females of Asian descent are often stoic and do not seek preventive care so this would be a good way to lead into the entire focus assessment and physical exam. Immediately asking her questions about breast disease, how she feels about her breasts, or having her disrobe would likely be uncomfortable for a client from this culture.

Answer to Question 2

Correct Answer: 2
The internal mammary nodes drain toward the abdomen and the opposite breast. Most of the lymph from the rest of the breast drains toward the axilla and subclavicular region. Therefore, cancer within the breast can spread through the lymphatic system via the subclavicular nodes, into deep channels within the chest or abdomen, and even to the opposite breast.

[bio_gurl]

Gracias!

[cici]

Thanks for the timely response, appreciate it