ATI LPN
Test Bank for Medical Surgical Nursing: Concepts for Interprofessional Collaborative Care 10th Edition
Chapter 70 : Care of Patients with Breast Disorders Questions
Question 1 of 5
A client states that she rates her pain as a 5 on a 0-10 scale post-mastectomy. The provider has ordered morphine 4 mg IV for moderate pain every 4 hours. The morphine is supplied as a solution of 8 mg/mL. How many mL will the nurse administer?
Correct Answer: B
Rationale:
To calculate the dose: 4 mg (ordered) ÷ 8 mg/mL (concentration) = 0.5 mL. Thus, the nurse will administer 0.5 mL of morphine.
Question 2 of 5
A client is discharged to home after a modified radical mastectomy with two drainage tubes. Which statement by the client would indicate that further teaching is needed?
Correct Answer: C
Rationale: The client should avoid strenuous activities like swimming until cleared by the provider to prevent complications such as lymphedema or infection. Emptying drainage tubes, avoiding heavy lifting, and reporting signs of infection are appropriate actions, indicating understanding.
Question 3 of 5
The nurse is teaching a 45-year-old woman about her fibrocystic breast condition. Which statement by the client indicates a lack of understanding?
Correct Answer: A
Rationale: Fibrocystic breast condition does not increase a woman's chance of developing breast cancer. Hormone replacement therapy is not indicated since the additional estrogen may aggravate the condition. Limiting caffeine intake may give relief to tender breasts. The fibrocystic changes to the breasts make it more difficult to examine the breasts because of fibrotic changes and lumps.
Question 4 of 5
A 37-year-old Nigerian woman is at high risk for breast cancer and is considering a prophylactic mastectomy and oophorectomy. What action by the nurse is most appropriate?
Correct Answer: D
Rationale: The cultural aspects of decision making need to be considered. In Nigerian culture, the man often plays a significant role in decision-making processes, so including support people like the male partner is appropriate to ensure culturally sensitive care.
Question 5 of 5
A client is starting hormonal therapy with tamoxifen (Nolvadex) to lower the risk for breast cancer. What information needs to be explained by the nurse regarding the action of this drug?
Correct Answer: C
Rationale: Tamoxifen (Nolvadex) reduces the estrogen available to breast tumors to stop or prevent growth. It does not block luteinizing hormone (leuprolide does this), interfere with cell division (chemotherapy agents like cyclophosphamide do this), or inhibit DNA synthesis (doxorubicin does this).