Instructions: For each question, underline the keywords in the question. Highlight the correct answer. For each answer provided, give a rationale on why you did or did not pick that answer. The rationale should be detailed, not just “not applicable” or “incorrect answer”. 1. The nurse has asked a female client if she has noticed any lumps or swelling in her breasts. After the client responds “yes,” which question should the nurse ask next? a. “Have any of the other women in your family had this happen?”b. “Has there been any corresponding change in your breast size?”| c. “Does the lump change over the course of your menstrual cycle?” d. “What do you think is causing this change?” 2. When taking a health history for a female client, which factor should the nurse identify as placing the client at increased risk for breast cancer? a. The client eats a high fiber, low-fat diet b. The client had her first child at age 38 c. The client breast-fed her child for a full year d. The client has a low body mass index 3. While assessing a woman’s breasts, the nurse notes a pronounced and asymmetric pattern of veins on the client’s breasts. Follow-up care is ordered because the nurse should suspect which of the following? a. Pregnancy b. Fibrocystic changes c. Malignancy d. A low platelet count 4. The nurse is assessing the breasts of a client who has just been diagnosed with Paget disease. Which of the following assessments would the nurse expect to find? a. Orange-peel skin b. Nipple retraction c. Dark pink areola d. Red and scaly skin on the areola 5. A woman reports a sudden onset of spontaneous nipple discharge. Which of the following would be the nurse’s most appropriate action? a. Observe the breast for eversion of the nipple b. Reassure the client that this is a normal result of hormonal fluctuations C. Collect a sample for culture and sensitivity testing d. Refer the client to an oncologist for follow-up 6. A client who takes oral contraceptives states that she often experiences breast pain just before her menstrual cycle begins. When using the COLDSPA mnemonic to assess the client’s pain, the nurse should begin by asking which of the following? a. “How would you describe your pain? Is it sharp? Is it an ache?” b. “Has the pain changed over time?” c. “Would you describe the pain as being constant or as intermittent?”| d. “Is there anything that makes the pain worse or better?”|. Get assignment help here.
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