Chapter 17- The Breasts and Axillae

8/20/2019 Chapter 17- The Breasts and Axillae

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1.During the examination of the breasts, a young adult patient's nipples becomes erect and

the areolas pucker. The nurse explains to the patient that these findings indicate:

A) An abnormal smooth muscle response) !ntact tactile stimulation of the area

") #uture difficulty $ith breast%feeding

D) &erabundance of areolar glands

(.A patient is concerned about a right breast lump. hat can the nurse ask the patient toassess associated manifestations of this mass* +elect all that apply.)

A) -!s there pain $ith the lump*

) -!s there any discharge from the lump*

") -Does anything make it go a$ay*D) -/o$ are you coping $ith this*

0) -Are you menstruating $hen the lump is present*

.hile conducting a breast health history, a patient states that there is -nothing to say

about the breasts and then makes a comment about not reali2ing that it $ould take somany months for the milk to stop flo$ing in the breasts after haing a baby. hat should

the nurse respond to the patient*

A) -!t can take up to a year for the milk to stop flo$ing.

) -!s it painful*") -!n $hich breast does this occur*

D) -Are there any other symptoms occurring at this time*

3.The nurse asks the patient to sit $ith the arms at both sides $hen beginning the clinical breast examination. ith this position, the nurse $ill assess: +elect all that apply.)A) Appearance of the skin

) i2e and symmetry of the breasts

") "haracteristics of the nipplesD) 4ateral portion of the breast

0) "ontour of the breasts

5.hen assessing the axillae of the patient during the breast examination, the nurse should:

A) 6each high to$ards the apex of the axilla.

) 7alpate the lo$er border of the pectoral muscle.") #eel along the upper humerus.

D) #eel inside the posterior axillary fold muscle.

8.hen conducting the clinical breast examination of a patient, the pattern that the nurse

should follo$ $ould be:

A) "ircular ) edge

") 9ertical strip

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D) "oncentric circles

.The nurse is instructing a patient on conducting breast self%examination. hat should the

nurse include in these instructions* +elect all that apply.)

A) tand in front of a mirror and place one arm behind the head.) 4ie do$n and place one arm behind the head.

") ;se the finger pads of the three middle fingers of the hand.

D) ;se one leel of pressure to feel all the breast tissue.0) <oe in a circular pattern to check the entire breast.

=.The nurse palpates a mass $hile conducting the physical assessment of the patient's breast. /o$ should the nurse document the mass located in the position proided in the

diagram*

A) <ass located in the Tail of pence) <ass located in the = o'clock position

") <ass located in the lo$er inner >uadrant

D) <ass located in the ( o'clock position

?.A patient asks $hat can be done to reduce the risk of deeloping breast cancer. hatshould the nurse instruct this patient* +elect all that apply.)

A) <aintain a normal body $eight.

) 4imit alcohol use.") Aoid breast%feeding.

D) 4imit exercise.

0) /ae mammograms eery ( years.

[email protected] patient has had t$o breast biopsies $ithin 1@ years. oth of these biopsies $ere to

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drain cysts. The nurse should instruct the patient that these procedures $ill hae $hich

impact on the future deelopment of breast cancer*

A) o increased risk ) mall increased risk

") <oderate increased risk

D) 4arge increased risk

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Answer Key

1.(.A, , 0

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3.A, , ", 05.A

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Chapter 17- The Breasts and Axillae

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