During a physical examination, a 45-year-old woman states that ...

[jCorn1234]

During a physical examination, a 45-year-old woman states that she has had a crusty, itchy rash on her breast for approximately 2 weeks. In trying to find the cause of the rash, which question would be important for the nurse to ask?
 
  a. Is the rash raised and red?
  b. Does it appear to be cyclic?
  c. Where did the rash first appearon the nipple, the areola, or the surrounding skin?
  d. What was she doing when she first noticed the rash, and do her actions make it worse?

Question 2

A patient is newly diagnosed with benign breast disease. The nurse recognizes which statement about benign breast disease to be true? The presence of benign breast disease:
 
  a. Makes it hard to examine the breasts.
  b. Frequently turns into cancer in a woman's later years.
  c. Is easily reduced with hormone replacement therapy.
  d. Is usually diagnosed before a woman reaches childbearing age.

[juiceman1987]

Answer to Question 1

ANS: C
The location where the rash first appeared is important for the nurse to determine. Paget disease starts with a small crust on the nipple apex and then spreads to the areola. Eczema or other dermatitis rarely starts at the nipple unless it is a result of breastfeeding. It usually starts on the areola or surrounding skin and then spreads to the nipple

Answer to Question 2

ANS: A
The presence of benign breast disease (formerly fibrocystic breast disease) makes it hard to examine the breasts; the general lumpiness of the breast conceals a new lump. The other statements are not true.

[jCorn1234]

TYSM

[kusterl]

Excellent