Nokea
The nurse is reviewing the physicians notes from the patient who has just left the clinic. The nurse learns that the physician suspects a malignant breast tumor. On palpation, the mass most likely had what characteristic?
- A. Nontenderness
- B. A size of 5 mm
- C. Softness and a regular shape
- D. Mobility
Correct Answer: A
Rationale: Malignant breast tumors are typically nontender, hard, fixed, and irregularly shaped. Small size, softness, or mobility are more characteristic of benign lesions like cysts.
You may also like to solve these questions
A patient has had a total mastectomy with immediate reconstruction. The patient asks the nurse when she can take a shower. What should the nurse respond?
- A. Not until the drain is removed
- B. On the second postoperative day
- C. Now, if you wash gently with soap and water
- D. Seven days after your surgery
Correct Answer: A
Rationale: Showering is typically contraindicated until surgical drains are removed to prevent infection or disruption of the reconstruction site. Immediate or early showering risks complications, and a fixed timeline like seven days is not standard.
A patient has just returned to the postsurgical unit from post-anesthetic recovery after breast surgery for removal of a malignancy. What is the most likely major nursing diagnosis to include in this patients immediate plan of care?
- A. Acute pain related to tissue manipulation and incision
- B. Ineffective coping related to surgery
- C. Risk for trauma related to post-surgical injury
- D. Chronic sorrow related to change in body image
Correct Answer: A
Rationale: Acute pain is a common immediate postoperative issue due to tissue manipulation and incision, making it a priority nursing diagnosis. Coping, sorrow, or trauma risks may emerge later but are not immediate concerns.
The nurse leading an educational session is describing self-examination of the breast. The nurse tells the womens group to raise their arms and inspect their breasts in a mirror. A member of the patients group asks the nurse why raising her arms is necessary. What is the nurses best response?
- A. It helps to spread out the fat that makes up your breast.
- B. It allows you to simultaneously assess for pain.
- C. It will help to observe for dimpling more closely.
- D. This is what the American Cancer Society recommends.
Correct Answer: C
Rationale: Raising the arms during breast self-examination accentuates any skin changes, such as dimpling or retraction, by tightening the skin and underlying tissues, making these signs more visible. This is the primary reason for this maneuver. Spreading adipose tissue or assessing pain are not the goals, and citing the American Cancer Society does not directly answer the question.
A patient newly diagnosed with breast cancer states that her physician suspects regional lymph node involvement and told her that there are signs of metastatic disease. The nurse learns that the patient has been diagnosed with stage IV breast cancer. What is an implication of this diagnosis?
- A. The patient is not a surgical candidate.
- B. The patients breast cancer is considered highly treatable.
- C. There is a 10% chance that the patients cancer will self-resolve.
- D. The patient has a 15% chance of 5-year survival.
Correct Answer: D
Rationale: Stage IV breast cancer, with metastatic disease, has a 5-year survival rate of approximately 15%. Surgery may still be part of palliative or local control strategies, the disease is not highly treatable, and spontaneous resolution is not possible.
The nurse is teaching breast self-examination (BSE) to a group of women. The nurse should recommend that the patients perform BSE at what time?
- A. At the time of menses
- B. At any convenient time, regardless of cycles
- C. Weekly
- D. Between days 5 and 7 after menses
Correct Answer: D
Rationale: BSE is best performed on days 5 to 7 after menses, when breasts are least hormonal and tender, optimizing detection of abnormalities. Monthly, not weekly, performance is recommended, and timing relative to menses is important.