Author Question: While inspecting a patient's breasts, the nurse finds that the left breast is slightly larger than ... (Read 43 times)

future617RT · **on:** Jun 25, 2018

While inspecting a patient's breasts, the nurse finds that the left breast is slightly larger than the right with the bilateral presence of Montgomery glands. The nurse should:

a. Palpate over the Montgomery glands, checking for drainage.
b. Consider these findings as normal, and proceed with the examination.
c. Ask extensive health history questions regarding the woman's breast asymmetry.
d. Continue with the examination, and then refer the patient for further evaluation of the Montgomery glands.

Question 2

A 43-year-old woman is at the clinic for a routine examination. She reports that she has had a breast lump in her right breast for years. Recently, it has begun to change in consistency and is becoming harder.

She reports that 5 years ago her physician evaluated the lump and determined that it was nothing to worry about. The examination validates the presence of a mass in the right upper outer quadrant at 1 o'clock, approximately 5 cm from the nipple. It is firm, mobile, and nontender, with borders that are not well defined. The nurse replies:
a.
Because of the change in consistency of the lump, it should be further evaluated by a physician.
b.
The changes could be related to your menstrual cycles. Keep track of the changes in the mass each month.
c.
The lump is probably nothing to worry about because it has been present for years and was determined to be noncancerous 5 years ago.
d.
Because you are experiencing no pain and the size has not changed, you should continue to monitor the lump and return to the clinic in 3 months.

Jane · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: B
Normal findings of the breast include one breast (most often the left) slightly larger than the other and the presence of Montgomery glands across the areola.

Answer to Question 2

ANS: A
A lump that has been present for years and is not exhibiting changes may not be serious but should still be explored. Any recent change or a new lump should be evaluated. The other responses are not correct.