Author Question: After a breast examination, the nurse is documenting assessment findings that indicate possible ... (Read 70 times)

melly21297 · **on:** Jun 25, 2018

After a breast examination, the nurse is documenting assessment findings that indicate possible breast cancer. Which abnormal findings need to be included as part of the client's electronic medical record? (Select all that apply.)

a. Peau d'orange
b. Dense breast tissue
c. Nipple retraction
d. Mobile mass at two o'clock
e. Nontender axillary nodes

Question 2

The nurse is formulating a teaching plan according to evidence-based breast cancer screening guidelines for a 50-year-old woman with low risk factors. Which diagnostic methods should be included in the plan? (Select all that apply.)

a. Annual mammogram
b. Magnetic resonance imaging (MRI)
c. Breast ultrasound
d. Breast self-awareness
e. Clinical breast examination

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

Answer to Question 1

ANS: A, C, D
In the documentation of a breast mass, skin changes such as dimpling (peau d'orange), nipple retraction, and whether the mass is fixed or movable are charted. The location of the mass should be stated by the face of a clock. Dense breast tissue and nontender axillary nodes are not abnormal assessment findings that may indicate breast cancer.

Answer to Question 2

ANS: A, D, E
Guidelines recommend a screening annual mammogram for women ages 40 years and older, breast self-awareness, and a clinical breast examination. An MRI is recommended if there are known high risk factors. A breast ultrasound is used if there are problems discovered with the initial screening or dense breast tissue.