A patient who is scheduled for a lumpectomy and axillary lymph node dissection tells the nurse, I ...

A patient who is scheduled for a lumpectomy and axillary lymph node dissection tells the nurse, I would rather not know much about the surgery. Which response by the nurse is best?
 
  a. Tell me what you think is important to know about the surgery.
  b. It is essential that you know enough to provide informed consent.
  c. Many patients do better after surgery if they have more information.
  d. You can wait until after surgery for teaching about pain management.

Question 2

The nurse notes bilateral enlargement of the breasts during examination of a 62-year-old man. Which action should the nurse take first?
 
  a. Teach the patient how to palpate the breast tissue for lumps.
  b. Question the patient about medications being currently used.
  c. Refer the patient for mammography and biopsy of the breast tissue.
  d. Explain that this is a temporary condition due to hormonal changes.

Question 3

The nurse is caring for a 52-year-old patient with breast cancer who is receiving chemotherapy with doxorubicin (Adriamycin) and cyclophosphamide (Cytoxan). Which assessment finding is most important to communicate to the health care provider?
 
  a. The patient complains of fatigue.
  b. The patient eats only 25 of meals.
  c. The patient's apical pulse is irregular.
  d. The patient's white blood cell (WBC) count is 5000/L.