Author Question: The nurse is interviewing a 37-year-old client for breast cancer risks. Which statement by the ... (Read 75 times)

aabwk4 · **on:** Jun 25, 2018

The nurse is interviewing a 37-year-old client for breast cancer risks. Which statement by the client indicates an appropriate understanding of the risks associated with breast cancer?

1. I know my risk for breast cancer increases with age.
2. A mammogram every three years is my goal.
3. I will see my healthcare provider every two years for a breast examination.
4. My family history is negative so I do not need to worry.

Question 2

A pregnant client expresses concern about performing breast self-examination during pregnancy since her breasts are tender. Which response by the nurse is the most appropriate?

1. All you need to do is just concentrate on having a healthy baby for now.
2. You can wait until your breasts are no longer tender, and then resume your self-exams.
3. It's very important for you to be familiar with the changes in your breasts.
4. Breast cancer during pregnancy is rare, so don't worry about it.

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

Answer to Question 1

Correct Answer: 1
The risk of breast cancer increases with aging, especially after 35-40 years of age. The most current American Cancer Society guidelines for breast cancer screening include: Mammography biennial screening between the ages of 50 and 74 years; beginning biennial mammography before the age of 50 should be an individual decision based on cancer risk, and values regarding benefit and harm associated with mammography; annual breast examination by a healthcare provider every 3 years for women from age 20 to 40 years, and annually thereafter; self-breast examination is an option for women to consider beginning at the age of 20 All clients, regardless of family history, should be aware of screening guidelines.

Answer to Question 2

Correct Answer: 3
During pregnancy, breast self-examination needs to be done and the procedure is the same, even though the breast tissue will be firmer, larger, and possibly more tender. Breast cancer needs to be identified as soon as possible and is treated on an individual basis. It may not be common for breast cancer to occur during pregnancy, but monitoring for it does need to continue. Therefore, self-breast examination must be implemented throughout the pregnancy and during lactation.