NUR 300 Exam - Answer -multiple cysts and nodules -bilateral -...

NUR 300 Exam

• benign (fibrocystic) breast disease

Answer -multiple cysts and nodules -bilateral -women 30-55 -decreases after menopause and may change during menstrual cycle -may or may not be painful -causes heaviness of breast -well demarcated -firm/mobile/compressible cysts

• Fibroadenoma

Answer -solitary non-tender mass -unilateral -women 15-30 -may have a rapid increase in size -no skin retraction -diagnosed by ultrasound or biopsy -well demarcated -mobile/firm -no lymph adenopathy (meaning lymph nodes will not be affected)

• breast cancer

Answer -highest incidence in women >50 -irregular -unilateral mass -non-tender mass/lump -firm 1 / 3

-fixed -may be star shaped -poorly delineated mass -most common in upper outer quadrant -may have dimpling -nipple retraction -lymph adenopathy (lymph nodes may be affected/enlarged >1 cm) -breasts do not move up when hands go over the head

• Mastitis

Answer -erythematous area of induration extending from the areolar to the upper and lower quadrants -treatment= -rest -local heat -frequent nursing -antibiotic as prescribed

• Mastitis may result in

Answer breast abscess due to the plugged ducts

• nursing care

Answer mastitis

-administer antibiotics as prescribed -warm compress -teach pt -rest -frequent nursing -if the women stops nursing the breast will become engorges and pain will increase 2 / 3

• subjective findings

Answer mastitis and breast abscess

headache malaise chills sweating pain

• objective findings

Answer mastitis

fever erythematous

swollen tender hot to touch tachycardia

• objective findings

Answer breast abscess

erythematous indurated

tender nipple edema pointing (abscess)

• incidence for breast cancer in men

Answer <1%

• risk factors for breast cancer (>4)

Answer

• BRCA1 and BRCA2
• / 3