Author Question: The nurse is caring for a client with a possible diagnosis of fibrocystic breast disease. The client ... (Read 83 times)

dmcintosh · **on:** Jul 22, 2018

The nurse is caring for a client with a possible diagnosis of fibrocystic breast disease. The client asks, What symptoms should I watch for? The BEST response by the nurse would include which of the following? (Select all that apply.)

a. cysts that are painless with palpation
b. green, sticky nipple discharge
c. decreased estrogen levels
d. white, sticky nipple discharge
e. cysts that are more tender as the menstrual period approaches

Question 2

Which of these symptoms is associated with left-sided heart failure?

a. increased sputum production c. increased blood pressure
b. cyanosis d. edema of the ankles and lower legs

mmj22343 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

B, E
Fibrocystic breast disease (FBD), the most common breast lesion in women, usually occurs between the ages of 35 and 50 and increases the potential for developing breast cancer. The primary manifestation of FBD is single or multiple cysts that are more tender as the menstrual period approaches; the cysts are often filled with fluid. A green, sticky nipple discharge may also appear from one or both breasts.

Answer to Question 2

B
Early manifestations include fatigue, dyspnea on exertion, pedal edema, a slight cough, and paroxysmal nocturnal dyspnea leading to cyanosis. In right-sided failure, the client then develops edema on the ankles, lower legs, thighs, and abdomen; jugular veins become distended; and oliguria develops.