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 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.
Question 2 of 5
A patient is to undergo an ultrasound-guided core biopsy. The patient tells the nurse that a patient of hers had a stereotactic core needle biopsy. She wants to understand the difference between the procedures. What would be the nurses best response?
Correct Answer: A
Rationale: Ultrasound-guided core biopsy is faster, less expensive, and radiation-free compared to stereotactic biopsy, which uses X-rays for guidance, making it a preferred option when ultrasound is suitable.
Question 3 of 5
A patient at high risk for breast cancer is scheduled for an incision biopsy in the outpatient surgery department. When the nurse is providing preoperative education, the patient asks why an incision is being done instead of just removing the mass. What would be the nurses best response?
Correct Answer: B
Rationale: Incisional biopsy removes a portion of the mass to confirm breast cancer and allows for specialized studies to guide treatment. It is not chosen for pain, age, or mastectomy recovery assessment, and complete mass removal may not be feasible or necessary initially.
Question 4 of 5
A patient is being discharged from the ambulatory surgery center after an incision of a mass in her left breast. What are the criteria for discharging this patient? Select all that apply.
Correct Answer: B,C,D
Rationale: Discharge criteria include having an escort home, understanding activity restrictions, and knowing biopsy site care. Ambulation is expected before discharge, and urinary catheters are not typically used in this procedure.
Question 5 of 5
A patient has just been told she needs to have an incision of a right breast mass. During preoperative teaching, how could the nurse best assess this patient for specific needs she might have?
Correct Answer: A
Rationale: Encouraging the patient to verbalize questions and concerns helps identify her educational, physical, or psychosocial needs, tailoring preoperative care. Discussing biopsy findings or treatment options is physician-led, and medical history review is less direct.