Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
32 Cards in this Set
- Front
- Back
|
What does a bloody discharge from nipple indicate?
|
A bloody discharge may be caused by a noncancerous breast tumor (such as a tumor in a milk duct, called an intraductal papilloma) or, less commonly, by breast cancer. Among women who have an abnormal discharge, breast cancer is the cause in fewer than 10%.
|
|
|
What does a greenish discharge from nipple indicate?
|
usually due to a fibroadenoma, which is a noncancerous solid lump.
|
|
|
What does a discharge that contains pus and smells foul from nipple indicate?
|
may result from a breast infection.
|
|
|
A large amount of milky discharge in women who are not breastfeeding may represent
|
galactorrhea
|
|
|
What area of the breast has the most problems?
|
RUQ
|
|
|
Benign breast disorders
|
Cysts
Fibroadenomas Breast Pain Discharge from nipple |
|
|
benign cysts of breast
|
filled with fluids in milk ducts
|
|
|
Breast Fibroadenomas
|
fibrous material in the breast
|
|
|
How common is breast cancer?
|
not very common, pretty rare
|
|
|
Sign of cancer- changes in the ___
|
skin
Pitted, puckered, or dimpled (orangish) sign of cancer |
|
|
Diagnostic tests for breast cancer
|
Mammography
Ultrasonography Magnetic resonance imaging (MRI) Biopsies |
|
|
What is a mammography?
|
x-ray of the soft tissue of the breast
|
|
|
What to remind the pt not to wear to a mammography?
|
Do not use deoderant or baby powder under arm for procedure
|
|
|
Should a mammography be performed on a pregnant pt?
|
No
|
|
|
Women in their 20s and 30s should have a clinical breast exam at least every _ years
|
3
|
|
|
How often to have a clinical breast exam after age 40?
|
annually
|
|
|
Mammography annually beginning at age __
|
40
|
|
|
true or false.
Breast self-examination is best performed 10 days after the first day of menses. |
false
BSE is best performed after menses (day 5–7, counting the first day of menses as day 1) or once monthly for postmenopausal women. |
|
|
For BSE, Review the feel of normal breast tissue and ways to identify _______
|
changes
|
|
|
Routine BSE helps patients become familiar with their own “_____ -_______”
|
normal abnormalities
|
|
|
Where is an easy place to perform a BSE?
|
Part of the examination may be done in the shower with soapy hands to glide over the breast and focus on underlying tissue
|
|
|
What areas to include in a BSE?
|
Note the importance of including the area between the breast and underarm, and the underarm itself
|
|
|
Causes of breast lumps
|
Cysts: Fluid filled sacs
Fibroadenomas: solid masses Scar tissue Rarely cancer |
|
|
Breast conservation treatment
|
Removal of lump/tumor rather than the entire breast
|
|
|
The most common site for breast cancer to metastasize to is ...
|
bone tissue
|
|
|
Modified radical mastectomy-
|
breast tissue, lymph nodes, and nipple are removed, but the muscles are left intact
|
|
|
Total mastectomy
|
removal of breast tissue and nodes if necessary
|
|
|
Breast reconstruction surgery
|
can do reconstruction during surgery or at a later date. Can use their own tissue or prothesis
|
|
|
Nonsurgical Management of Breast Cancer
|
Radiation therapy: external beam, brachytherapy
Chemotherapy Hormonal therapy |
|
|
How to prevent lymphedema post op mastectomy?
|
have pt sit with HOB 30* and affected arm elevated on a pillow to promote drainage
|
|
|
True or false.
When caring for a patient who has undergone a radical mastectomy, the nurse should avoid blood pressure, injections, and blood draws in the affected arm. |
True
|
|
|
Mastectomy pt teaching
|
Include spouse or partner
Focus on psychological preparation Teach about the drainage tubes, location of incision, mobility restrictions, length of hospital stay need to elevate arm, not to have BP taken on affected arm or blood draws |
