Chapter 6 Disorders of the Breasts

Chapter 6 Disorders of the Breasts Test Bank for Maternity and Pediatric Nursing, 4th Edition by Ricci, Kyle, And Carman

1. The nurse is developing the discharge plan for a woman who has had a left-sided radical mastectomy. The nurse is including instructions for ways to minimize lymphedema. Which statement by the client indicates the need for additional instructioanbi?rb A. "I need to wear gloves when doing any gardening." B. "Any blood pressures need to be taken in my right arm." C. "I should wear clothing with elasticized sleeves." D. "I need to avoid driving to and from work every day." Answer: C Rationale: Lymphedema increases when there is obstruction to the lymph flow. Wearing clothing with elasticized sleeves would compress the extremity, possibly cause trauma, and obstruct the flow, thus increasing the woman's risk. Wearing gloves when gardening and using the unaffected arm for blood pressure readings help to reduce the risk of injury a a bn i rd b . c s ou mb / s t ee sq t uent lymphedema. Driving would have no effect on lymphedema. Question format: Multiple Choice Chapter 6: Disorders of the Breasts Cognitive Level: Analyze Client Needs: Physiological Integrity: Reduction of Risk Potential Reference: p. 222 2. The nurse determines that a woman has implemented prescribed therapy for her fibrocystic breast disease when the client reports that she has eliminated which from her lifestyle? A. caffeine B. cigarettes C. dairy products D. sweets Answer: A Rationale: Caffeine is a stimulant and eliminating it will help redaubcireb.csoymm/tepsttoms of fibrocystic breast disease. Cigarettes, dairy products, and sweets are not associated with symptoms of fibrocystic breast disease. Question format: Multiple Choice Chapter 6: Disorders of the Breasts Cognitive Level: Analyze Client Needs: Physiological Integrity: Physiological Adaptation Reference: p. 208 3. A nurse has completed the assessment of a client. The nurse suspects that the client may have a malignant breast mass based on which finding? A. painful lump B. absence of dimpling C. regularly shaped mass D. nipple retraction Answer: D Rationale: Malignant breast masses typically are difficult to palpaabtierb,.cpoamin/telsetss, irregularly shaped, and immobile, with nipple retraction and skin dimpling. Question format: Multiple Choice Chapter 6: Disorders of the Breasts Cognitive Level: Apply Client Needs: Physiological Integrity: Physiological Adaptation Reference: p. 228 4. A woman who has undergone a right-sided modified-radical mastectomy returns from surgery. Which nursing intervention would be most appropriate for the nurse to include in the client's plan of care at this time? A. Ask the client how she feels about having her breast removed. B. Attach a sign above her bed to have BP, IV lines, and lab work in her right arm. C. Encourage her to turn, cough, and deep breathe at frequent intervals. D. Position her right arm below heart level. Answer: C