Author Question: The nurse is examining a woman's breast and notes multiple small mobile lumps. Which question would ... (Read 115 times)

stephzh · **on:** Jun 25, 2018

The nurse is examining a woman's breast and notes multiple small mobile lumps. Which question would be the most appropriate for the nurse to ask?

a. When was your last mammogram at the clinic?
b. How many cans of caffeinated soda do you drink in a day?
c. Do the small lumps seem to change with your menstrual period?
d. Do you have a first-degree relative who has breast cancer?

Question 2

The nurse is teaching a 45-year-old woman about her fibrocystic breast condition. Which statement by the client indicates a lack of understanding?

a. This condition will become malignant over time.
b. I should refrain from using hormone replacement therapy.
c. One cup of coffee in the morning should be enough for me.
d. This condition makes it more difficult to examine my breasts.

wtf444 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: C
The most appropriate question would be one that relates to benign lesions that usually change in response to hormonal changes within a menstrual cycle. Reduction of caffeine in the diet has been shown to give relief in fibrocystic breast conditions, but research has not found that it has a significant impact. Questions related to the client's last mammogram or breast cancer history are not related to the nurse's assessment.

Answer to Question 2

ANS: A
Fibrocystic breast condition does not increase a woman's chance of developing breast cancer. Hormone replacement therapy is not indicated since the additional estrogen may aggravate the condition. Limiting caffeine intake may give relief for tender breasts. The fibrocystic changes to the breasts make it more difficult to examine the breasts because of fibrotic changes and lumps.