Which finding in a female client by the nurse would receive the ...

[EAugust]

Which finding in a female client by the nurse would receive the highest priority of further diagnostics?
 
  a. Tender moveable masses throughout the breast tissue
  b. A 3-cm firm, defined mobile mass in the lower quadrant of the breast
  c. Nontender immobile mass in the upper outer quadrant of the breast
  d. Small, painful mass under warm reddened skin

Question 2

A client is diagnosed with a fibrocystic breast condition while in the hospital and is experiencing breast discomfort. What comfort measure would the nurse delegate to the unlicensed assistive personnel (UAP)?
 
  a. Aid in the draining of the cysts by needle aspiration.
  b. Teach the client to wear a supportive bra to bed.
  c. Administer diuretics to decrease breast swelling.
  d. Obtain a cold pack to temporarily relieve the pain.

[sokh]

Answer to Question 1

ANS: C
Malignant lesions are hard, nontender, and usually located in the upper outer quadrant of the breast and would be the priority for further diagnostic study. The other lesions are benign breast disorders. The tender moveable masses throughout the breast tissue could be a fibrocystic breast condition. A firm, defined mobile mass in the lower quadrant of the breast is a fibroadenoma, and a painful mass under warm reddened skin could be a local abscess or ductal ectasia.

Answer to Question 2

ANS: D
All of the options would be comfort measures for a client with a fibrocystic breast condition. The UAP can obtain the cold or heat therapy. Only the nurse should aid the health care provider with a needle aspiration, teach, and administer medications.

[EAugust]

TYSM

[AmberC1996]

Excellent