ATI LPN
Brunner & Suddarth's Textbook of Medical-Surgical Nursing 14e (Hinkle 2017)
Chapter 58 : Assessment and Management of Patients with Breast Disorders Questions
Question 1 of 5
A 42-year-old man has come to the clinic for an annual physical. The nurse notes in the patients history that his father was treated for breast cancer. What should the nurse provide to the patient before he leaves the clinic?
Correct Answer: B
Rationale: Men with a family history of breast cancer, like a father, have an increased risk and should be taught breast self-examination to monitor for changes. Referrals for mammograms, surgery, or support groups are not indicated without symptoms or a diagnosis.
Question 2 of 5
The nurse is teaching breast self-examination (BSE) to a group of women. The nurse should recommend that the patients perform BSE at what time?
Correct Answer: D
Rationale: BSE is best performed on days 5 to 7 after menses, when breasts are least hormonal and tender, optimizing detection of abnormalities. Monthly, not weekly, performance is recommended, and timing relative to menses is important.
Question 3 of 5
A nurse is teaching a group of women about the potential benefits of breast self-examination (BSE). The nurse should teach the patients that effective BSE is dependent on what factor?
Correct Answer: A
Rationale: Effective BSE relies on the patient's familiarity with her breasts' normal appearance and feel, enabling detection of changes. Rapport with providers, mammogram synchronization, or pathophysiology knowledge are not essential for BSE efficacy.
Question 4 of 5
A 60-year-old man presents at the patient complaining that his breasts are tender and enlarging. Patients are subsequently diagnosed with gynecomastia. The patient should be assessed for what causative factor?
Correct Answer: B
Rationale: Gynecomastia in older men is often caused by medications, such as diuretics or antipsychotics, which can disrupt hormonal balance. It is not an age-related change, nor is it linked to nutrition or fluid overload.
Question 5 of 5
A woman is considering breast reduction mammogram. When weighing the patients health risks, the nurse should confirm that the patient is aware that what factor?
Correct Answer: D
Rationale: Breast reduction mammoplasty may result in decreased nipple sensation due to nerve disruption. It does not increase cancer risk, affect mammography clarity, or cause chronic pain.