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)
- BRCA1 and BRCA2
- / 3
Answer