Author Question: A menopausal woman comes to the clinic with complaints of thin, watery nipple discharge with blood ... (Read 91 times)

Awilson837

  • Hero Member
  • *****
  • Posts: 509
A menopausal woman comes to the clinic with complaints of thin, watery nipple discharge with blood present. Based on this data, which disorder does the nurse suspect?
 
  1. Mammary duct ectasia.
  2. Fibrocystic disease.
  3. Breast malignancy.
  4. Intraductal papillomas.

Question 2

During the breast examination on a client, the nurse palpates a small, subclavicular node on the right side of the client's chest. Which is the priority nursing action at this time?
 
  1. Call the primary care provider.
  2. Ask the client if they have a family history of breast cancer.
  3. Continue with the exam.
  4. Schedule a mammogram for the next available appointment.



Jordin Calloway

  • Sr. Member
  • ****
  • Posts: 334
Answer to Question 1

Correct Answer: 4
Intraductal papillomas are the primary cause of nipple discharge in women who are not pregnant or lactating and are more commonly found in menopausal women. Fibrocystic disease is first seen when women are in their twenties, and discharge may be straw-colored, clear, milky, or green. Discharge associated with mammary duct ectasia is thick and sticky. Malignancy that affects the nipple must be correlated with other physical findings, mammogram, and biopsy.

Answer to Question 2

Correct Answer: 3
Usually nodes are nonpalpable, but subclavicular nodes must be assessed as part of the examination. It would be important for the nurse to complete the exam in order to document size and location of any and all palpable masses. Documentation of the client's report to corroborate findings is also important. Reporting these findings in completeness to the primary care provider would be the next step, and any further follow-up would be determined by that provider, along with the client's input.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question


 

Did you know?

Adolescents often feel clumsy during puberty because during this time of development, their hands and feet grow faster than their arms and legs do. The body is therefore out of proportion. One out of five adolescents actually experiences growing pains during this period.

Did you know?

Many people have small pouches in their colons that bulge outward through weak spots. Each pouch is called a diverticulum. About 10% of Americans older than age 40 years have diverticulosis, which, when the pouches become infected or inflamed, is called diverticulitis. The main cause of diverticular disease is a low-fiber diet.

Did you know?

Intradermal injections are somewhat difficult to correctly administer because the skin layers are so thin that it is easy to accidentally punch through to the deeper subcutaneous layer.

Did you know?

Acetaminophen (Tylenol) in overdose can seriously damage the liver. It should never be taken by people who use alcohol heavily; it can result in severe liver damage and even a condition requiring a liver transplant.

Did you know?

Urine turns bright yellow if larger than normal amounts of certain substances are consumed; one of these substances is asparagus.

For a complete list of videos, visit our video library