ATI LPN
Test Bank for Medical Surgical Nursing: Concepts for Interprofessional Collaborative Care 10th Edition
Chapter 70 Questions
Question 1 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 2 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 3 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).
Question 4 of 5
A client is placed on a medical regimen of doxorubicin (Adriamycin), cyclophosphamide (Cytoxan), and another agent for breast cancer. What effect seen in the client should the nurse report to the provider immediately?
Correct Answer: A
Rationale: Doxorubicin (Adriamycin) can cause cardiac problems, with symptoms like shortness of breath indicating potential cardiotoxicity, which requires immediate reporting. Hair loss, mucositis, and vomiting are common chemotherapy side effects but are not immediately life-threatening.
Question 5 of 5
A client is concerned about the risk of lymphedema after a mastectomy. Which response by the nurse is best?
Correct Answer: B
Rationale: Infection can contribute to lymphedema, so wearing gloves during activities like gardening reduces this risk. Radiation is only one factor; others like obesity and axillary disease also contribute. Lymphedema symptoms are not common post-surgery, and while it is a concern, it is manageable with proper care.