Author Question: Fibrocystic changes in the breast most often appear in women in their 20s and 30s. The etiology is ... (Read 35 times)

biggirl4568 · **on:** Jun 28, 2018

Fibrocystic changes in the breast most often appear in women in their 20s and 30s. The etiology is unknown, but it may be an imbalance of estrogen and progesterone.

The nurse who cares for this client should be aware that treatment modalities are conservative. One proven modality that may provide relief is:
a. Diuretic administration.
b. Including caffeine daily in the diet.
c. Increased vitamin C supplementation.
d. Application of cold packs to the breast as necessary.

Question 2

Which patient is most at risk for fibroadenoma of the breast?

a. A 38-year-old woman c. A 16-year-old girl
b. A 50-year-old woman d. A 27-year-old woman

voltaire123 · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: A
Diuretic administration plus a decrease in sodium and fluid intake are recommended. Although not supported by research, some advocate eliminating dimethylxanthines (caffeine) from the diet. Smoking should also be avoided, and alcohol consumption should be reduced. Vitamin E supplements are recommended; however, the client should avoid megadoses because this is a fat-soluble vitamin. Pain relief measures include applying heat to the breast, wearing a supportive bra, and taking nonsteroidal antiinflammatory drugs.

Answer to Question 2

ANS: C
Although it may occur at any age, fibroadenoma is most common in the teenage years. Ductal ectasia and intraductal papilloma become more common as a woman approaches menopause. Fibrocystic breast changes are more common during the reproductive years.