Author Question: The nurse is assessing a client and confirms the presence of galactorrhea. Which conclusion by the ... (Read 73 times)

MGLQZ · **on:** Jun 25, 2018

The nurse is assessing a client and confirms the presence of galactorrhea. Which conclusion by the nurse is the most appropriate?

1. It suggests an endocrine disorder.
2. It may indicate a malignancy.
3. It suggests a breast infection.
4. It is usually indicative of lactation.

Question 2

The nurse is examining a client with a history of benign breast disease. Which findings does the nurse anticipate when assessing this client's breasts? Select all that apply.

1. Straw-colored discharge from the nipples.
2. Freely movable masses.
3. Hard, fixed nodules.
4. Thickened breast tissue.
5. Masses with well-defined boundaries.

nekcihc358 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 1
Galactorrhea is lactation not associated with childbearing and occurs most commonly with endocrine disorders or medications, including some antidepressants and antihypertensives. Unilateral discharge from the nipple is suggestive of benign breast disease, an intraductal papilloma, or cancer. Infections of the breast cause enlargement and tenderness of the axillary lymph nodes.

Answer to Question 2

Correct Answer: 1, 2, 4, 5
Upon palpation of fibrocystic breasts, the masses feel soft, well demarcated and freely movable. Discharge from the nipples may be clear, straw-colored, milky, or green. These symptoms are a result of fibrosis, which is a thickening of the normal breast tissue and may be accompanied by cyst formation. Hard, fixed nodules are suggestive of cancer of lymphoma.