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Breast Cancer care in Nursing: Med Surg

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Question
Answer
What is the second leading cause of cancer deaths in women?   Breast Cancer  
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What are three steps a woman can take to help prevent and/or reduce mortality r/t breast cancer?   SBE, Clinical BE, Mammography  
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Pt is being evaluated for a genetic link to breast cancer. Which of these people w/ BCA puts her at a higher risk? Mom, Aunt, Grandmother, Sister, Daughter, Cousin?   Mom, Sister, and Daughter  
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At which age should pts start getting annual mammograms?   Over 40.  
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Female that had a late menarche and early menopause is at a higher risk for BCA? T or F?   False. Early menarche and late menopause.  
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Which of these puts a pt at higher risk for BCA? Bone cancer, ovarian cancer, contraceptive use, high-protein foods, alcohol?   Ovarian cancer and contraceptive use  
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Which of these does not increase the risk of BCA? Hormones, Cigarettes, Obesity, Radiation, Pregnancy?   Pregnancy  
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At which point in the menstrual cycle should a mammogram be performed?   First two weeks of cycle  
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Biopsy involving removal of tissue from a breast mass. Incisional or Excisional?   Incisional  
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Biopsy involving removal of mass. Incisional or Excisional?   Excisional  
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What does TNM stand for?   Tumor, Node, Metastasis  
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Changes in the skin that result in an orange peel appearance is known as   Peau d'orange  
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Dimpling and nipple retraction are normal signs of aging r/t the breasts. T or F?   False. Signs of BCA.  
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Breast pain is always indicative of BCA. T or F?   False  
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Inc. Vascularity, ulceration, and englarged lymph nodes are signs of BCA. T or F?   True  
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What basic aspect of nursing care can be applied to all pts following a masectomy? (r/t fluids)   I/O  
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How should a pt post-op masectomy position their arm when laying down? Above or below the heart?   Above. Promote venous return.  
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Name one psychosocial nsg dx r/t masectomy.   Disturbed body image  
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Who should do monthly BSE? Women over 10, Over 20, Over 30, or over 40?   Over 20  
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Can women at high risk for BCA be treated preventatively? If so, what with?   Yes. Tamoxifen (SERM)  
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Post op wound care of a pt who had a masectomy should be done with surgical or clean asepsis?   Surgical aspesis  
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Name 3 post-masectomy interventions r/t affected arm.   Support w/ sling while ambulating. lie on unaffected side. No dependent arm positioning.  
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BP, Blood draws, and shots in the affected arm are ok after masectomy? T or F?   False  
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What should the nurse do if a pt reports numbness, pain heaviness, and impaired motor function in affected arm?   Call the physician  
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What are the most common sites of mets in BCA? Spleen, Kidneys, Bone, Lungs, Bladder, Brain, Skin, Liver?   Bone, Lungs, Brain, Liver  
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