The nurse will teach a patient with metastatic breast cancer who has a new prescription for trastuzumab (Herceptin) that
a. hot flashes may occur with the medication.
b. serum electrolyte levels will be drawn monthly.
c. the patient will need frequent eye examinations.
d. the patient should call if she notices ankle swelling.
Question 2A 53-year-old woman at menopause is discussing the use of hormone therapy (HT) with the nurse. Which information about the risk of breast cancer will the nurse provide?
a. HT is a safe therapy for menopausal symptoms if there is no family history of BRCA genes.
b. HT does not appear to increase the risk for breast cancer unless there are other risk factors.
c. The patient and her health care provider must weigh the benefits of HT against the risks of breast cancer.
d. Natural herbs are as effective as estrogen in relieving symptoms without increasing the risk of breast cancer.
Question 3A 58-year-old woman tells the nurse, I understand that I have stage II breast cancer and I need to decide on a surgery, but I feel overwhelmed. What do you think I should do? Which response by the nurse is best?
a. I would have a lumpectomy, but you need to decide what is best for you.
b. Tell me what you understand about the surgical options that are available.
c. It would not be appropriate for me to make a decision about your health.
d. There is no need to make a decision rapidly; you have time to think about this.
Question 4During a well woman physical exam, a 43-year-old patient asks about her risk for breast cancer. Which question is most pertinent for the nurse to ask?
a. Do you currently smoke tobacco?
b. Have you ever had a breast injury?
c. At what age did you start having menstrual periods?
d. Is there a family history of fibrocystic breast changes?
Question 5A 51-year-old patient with a small immobile breast lump is considering having a fine-needle aspiration (FNA) biopsy. The nurse explains that an advantage to this procedure is that
a. FNA is done in the outpatient clinic and results are available in 1 to 2 days.
b. only a small incision is needed, resulting in minimal breast pain and scarring.
c. if the biopsy results are negative, no further diagnostic testing will be needed.
d. FNA is guided by a mammogram, ensuring that cells are taken from the lesion.
Question 6The nurse teaching a young women's community service group about breast self-examination (BSE) will include that
a. BSE will reduce the risk of dying from breast cancer.
b. BSE should be done daily while taking a bath or shower.
c. annual mammograms should be scheduled in addition to BSE.
d. performing BSE after the menstrual period is more comfortable.
Question 7Which information shown in the accompanying figure and obtained by the nurse about a 72-year-old man who is complaining of erectile dysfunction is most important to communicate to the health care provider?
a. Recent knee surgery
b. Low position of left testis
c. Pulse and blood pressure level
d. Use of antihypertensive drugs
Quick Reply
