NSG 460 Exam 4 Chapters 17, 26 (Complete And Verified Study material) (30pages) LEARNEXAMS

1. The nurse is assessing a patient who reports purulent nipple discharge.What is the likely cause of this condition? 1. Use of oral contraceptives or diuretics 2. Presence of nodules in the papillary duct 3. Stagnation of cellular debris in the ducts 4. Presence of an early lesion in Paget disease: Answer 3. Stagnation of cellular debrisin the ducts Mammary duct ectasia is a condition in which the subareolar ducts produce sticky,purulent discharge. This discharge is caused by stagnation of cellular debris and secretions in the ducts, leading to obstruction, inflammation, and infection. Certainmedications, such as oral contraceptives and diuretics, can cause clear nipple dis-charge. An early lesion in Paget disease causes unilateral, clear, yellow discharge.An intraductal papilloma is a benign tumor that arises in the papillary ducts. The nodules in the papillary duct may lead to serous or serosanguineous discharge. 2. The nurse is caring for a patient with benign fibrocystic breast disease.Whatdoes the nurse expect to find in this patient? Select all that apply. 1. Presence of multiple tender masses 2 . Presence of irregularly shaped lumps 3. Presence of dull, heavy, cyclic pain 4. Presence of constant growth of lumps 5 . Presence of cysts and fibroadenomas: Answer 1, 3, 5: A patient with benign fibrocysticbreast disease has multiple tender masses. The patient has significant lumpiness or nodularity, which may be cyclic or noncyclic.The patient also has mastalgia or pain, which may be dull, heavy, and cyclic as the nodules enlarge. Palpation reveals the presence of dominant lumps, which may be cysts or fluid-filled sacs and fibroadenomas. The lumps detected in fibrocystic breast disease are round and lobular, whereas the lumps detected in cancer are irregular in shape. Lumps in fibroadenoma grow quickly and constantly, while the lumps in benign fibrocysticbreast disease may increase or decrease rapidly in size.The change in size is cyclicwith the menstrual period. 3. The nurse is assessing a 13-year-old male patient who is concerned aboutthe sudden enlargement of his breasts. Which responses by the nurse are appropriate? Select all that