Deck 24: Breast Health Considerations

Question 1

While conducting a physical examination on a female adolescent client, you note that glandular tissue has developed under the areola of her breast and that the nipple and breast project as a single mound. At which Tanner phase is this client?

A) 1
B) 2
C) 3
D) 4

Answer 1

B

Question 2

Tamara is a 7-year-old client who is already showing signs of breast development and growth of pubic hair. Which condition does Tamara most likely have?

A) Premature telarche
B) Amastia
C) Precocious puberty
D) Polythelia

Answer 2

C

Question 3

Denisa is a 48-year-old client who complains of spontaneous discharge of milk from both breasts. She says she is taking valsartan for her blood pressure and bupropion Hcl for depression. A pregnancy test comes back negative, and her prolactin level is 14 ng/mL. What condition does Denisa most likely have?

A) Galactorrhea
B) Prolactinoma
C) Increased vascularity
D) Intraductal papilloma

Answer 3

A

Question 4

You are teaching about breast care to Maria, a client who just gave birth and who plans to breastfeed her child. Which instruction should you give her to help prevent nipple fissures?

A) Towel dry her breasts immediately on getting out of the shower
B) Apply lanolin to her nipples
C) Avoid wearing a bra
D) Avoid washing the breasts

Question 5

You have just completed a clinical breast exam on Casey, a healthy 23-year-old client with no personal or family history of breast cancer. You should advise Casey to have a clinical breast exam how often?

A) Every year
B) Every 2 years
C) Every 3 years
D) Every 5 years

Question 6

Margaret is a client who has a documented breast cancer (BRCA) 1 mutation and is at a high risk for breast cancer. Which diagnostic procedure is recommended by the American Cancer Society to screen Margaret for breast cancer?

A) Ultrasound
B) Magnetic resonance imaging
C) Mammogram
D) Chest x-ray

Question 7

Tiffany is a client who has a large cyst in her breast. Which intervention would be most appropriate for resolving the cyst and obtaining a fluid sample to send to the laboratory for cytology studies?

A) Core needle biopsy
B) Incisional biopsy
C) Excisional biopsy
D) Fine needle aspiration biopsy

Question 8

Miranda is a 25-year-old client who is concerned about her risk for developing breast cancer. Which of the following should you point out to Miranda as risk factors for breast cancer? (Select all that apply.)

A) Being 25 years old
B) Having a mutation of the BRCA 1 tumor suppressor gene
C) Drinking three beers daily
D) Menarche at age 13 years
E) Body mass index of 35

Question 9

Katherine is a 30-year-old client who recently learned that she has the BRCA 1 gene mutation and is terrified that she might develop breast cancer. She lost her mother to breast cancer a few years ago and is prepared to take drastic measures to reduce her risk. She has a body mass index of 24, and drinks a glass of wine daily. Which of the following interventions would most effectively lower Katherine's risk for developing breast cancer?

A) Abstaining from alcohol
B) Taking tamoxifen, as prescribed
C) Losing 20 lb
D) Undergoing surgical prophylaxis

Question 10

Marcy has been diagnosed with breast cancer. Her tumor is about 3 cm in diameter. What is the T stage of Marcy's tumor?

A) T1
B) T2
C) T3
D) T4

Question 11

Kelly is a client who was recently diagnosed with breast cancer. She has a tumor 6 cm in diameter and several positive nodes outside the axillary nodes, with no distant metastasis. What stage is Kelly's cancer?

A) 1
B) 2
C) 3
D) 4

Question 12

Eva recently underwent a lumpectomy for treatment of her 7-cm tumor. What additional treatment should Eva most expect to undergo in conjunction with the lumpectomy?

A) Radiation therapy
B) Chemotherapy
C) Hormonal therapy
D) Biological therapy

Question 13

Harriet has been diagnosed with HER2-positive breast cancer. Which treatment would allow targeting of the cancer cells more specifically and thus would likely produce fewer side effects?

A) Radiation therapy
B) Chemotherapy
C) Hormonal therapy
D) Biological therapy

Question 14

Pamela is a client who is preparing to undergo chemotherapy to treat her breast cancer. What instructions should you give her to help reduce the risk of acquiring infections? (Select all that apply.)

A) Avoid having dental work during treatment
B) Stay out of large crowds
C) Eat a low-calorie diet
D) Wash hands frequently
E) Get plenty of rest

Question 15

Women who are diagnosed with early breast cancer are thought to have what chance of survival?

A) 60%
B) 70%
C) 80%
D) 90%