The nurse is formulating a teaching plan according to evidence-based breast cancer screening guidelines for a 50-year-old woman with low risk factors. Which diagnostic methods should be included in the plan? (Select all that apply.)
a. Annual mammogram
b. Magnetic resonance imaging (MRI)
c. Breast ultrasound
d. Breast self-awareness
e. Clinical breast examination
Question 2The nurse is taking a history of a 68-year-old woman. What assessment findings would indicate a high risk for the development of breast cancer? (Select all that apply.)
a. Age greater than 65 years
b. Increased breast density
c. Osteoporosis
d. Multiparity
e. Genetic factors
Question 3A woman diagnosed with breast cancer had these laboratory tests performed at an office visit:
Alkaline phosphatase
125 U/L
Total calcium
12 mg/dL
Hematocrit
39
Hemoglobin
14 g/dL
Which test results indicate to the nurse that some further diagnostics are needed?
a.
Elevated alkaline phosphatase and calcium suggests bone involvement.
b.
Only alkaline phosphatase is decreased, suggesting liver metastasis.
c.
Hematocrit and hemoglobin are decreased, indicating anemia.
d.
The elevated hematocrit and hemoglobin indicate dehydration.
Question 4A client is concerned about the risk of lymphedema after a mastectomy. Which response by the nurse is best?
a. You do not need to worry about lymphedema since you did not have radiation therapy.
b. A risk factor for lymphedema is infection, so wear gloves when gardening outside.
c. Numbness, tingling, and swelling are common sensations after a mastectomy.
d. The risk for lymphedema is a real threat and can be very self-limiting.
Question 5A client is placed on a medical regimen of doxorubicin (Adriamycin), cyclophosphamide (Cytoxan), and fluorouracil (5-FU) for breast cancer. Which side effect seen in the client should the nurse report to the provider immediately?
a. Shortness of breath
b. Nausea and vomiting
c. Hair loss
d. Mucositis
Quick Reply
