ATI LPN
Timby's Introductory Medical-Surgical Nursing Thirteenth, North American Edition
Chapter 54 : Caring for Clients With Breast Disorders Questions
Question 1 of 5
The lactation nurse is caring for a mother who is 2 weeks postpartum and has mastitis. Which statement, made by the client, requires instruction and is the probable cause of the mastitis?
Correct Answer: C
Rationale: Because the client has mastitis, emptying each breast with alternate feedings is important. The baby's such is strongest at the beginning of the feeding, thus, the mother should alternate the breast that the baby starts nursing from. If not, one breast would not be drained of the milk.
Question 2 of 5
The nurse is caring for a breastfeeding client who has developed a breast abscess. When instructing on the cause of abscess formation, which organism is the most common cause?
Correct Answer: A
Rationale: An abscess in the breast is most frequently a complication of mastitis. The most common cause is Staphylococcus aureus (S. aureus).
Question 3 of 5
The client arrives at a public health clinic worried that she has breast cancer since finding a lump in her breast. When the nurse assesses the client's breast, which assessment finding is characteristic of fibrocystic disease?
Correct Answer: C
Rationale: The lump being round and movable is characteristic of fibrocystic breast disease, which often presents with multiple, mobile, and tender lumps that may change with the menstrual cycle. One breast being larger than the other is not specific to fibrocystic disease. A firm and immovable lump is more suggestive of malignancy. Nipple retractions are associated with breast cancer, not fibrocystic disease.
Question 4 of 5
While the nurse is providing education for a client with a family history of breast cancer, the client asks, 'What is the most common type of breast cancer?' What is the correct response from the nurse?
Correct Answer: B
Rationale: Ductal carcinoma makes up 70% to 80% of cases of breast malignancy. Inflammatory breast cancer is 1% to 5%, lobular carcinoma is 5% to 10%, and medullary carcinoma is the rarest among those listed.
Question 5 of 5
A suspicious breast lump is noted on a mammogram. The client asks the nurse which diagnostic test confirms if the lump is cancerous or benign. Which response by the nurse is most correct?
Correct Answer: B
Rationale:
To confirm whether a breast lump is cancerous or benign, a tissue sample must be obtained to examine the cells. Although an ultrasound, MRI, and clinical breast exam provide data on the characteristics of the lump, only examining the tissue can specifically identify if and what type of cancer is present.