NSG 3160 NCLEX Review Chapter 18

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NSG 3 1 6 0 NCLEX REVIEWM r . Paul Haidet (Miami Campus Content Enrichment Specialist}Breasts, Axillae, and Regional Lymphatics (Chapter 18)Stuvia.com Online NSG 3160 NCLEX Database Questions1Question 1The breast is made up of:a. Primarily muscle with very little fibrous tissue( P Fibrous, glandular, and adipose tissuesc. Primarily milk ducts, known as lactiferous ductsd. Glandular tissue, which supports the breast byattaching to the chest wall2

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Question 2The upper outer quadrant is:a. The largest quadrant of the breastThe location of most breast tumorsc. Where most of the suspensory ligaments attachd. More prone t o injury and calcifications than otherlocations in the breast3Question 3The nurse should assess which of these axillary lymphnodes?a. Central, axillary, lateral, and sternalb. Pectoral, lateral, anterior, and sternalCentral, lateral, pectoral, and subscapulard. Lateral, pectoral, axillary, and suprascapular

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Question 4Which type of node enlargement should the nurseexpect from a patient with a recent breast infection?a. NonspecificIpsilateral axillaryc. Contralateral axillaryd. Inguinal and cervicalQuestion 5W h a t is t h e nurse's b e s t response f o r a p a t i e n t w h o states t h a t h e rb r e a s t s c h a n g e all m o n t h l o n g ?a. C o n t i n u a l changes i n h e r b r e a s t s a r e u n u s u a l . T h e breasts o fn o n p r e g n a n t w o m e n u s u a l l y stay p r e t t y m u c h t h e s a m e all m o n t hl o n g .b . Breast changes i n r e s p o n s e t o stress a r e v e r y c o m m o n a n d t h a ts h e s h o u l d assess h e r l i f e f o r stressful e v e n t s .c) Because o f t h e c h a n g i n g h o r m o n e s d u r i n g t h e m o n t h l y m e n s t r u a lcycle, cyclic b r e a s t changes a r e c o m m o n .d . Breast changes n o r m a l l y o c c u r o n l y d u r i n g p r e g n a n c y a n d t h a t ap r e g n a n c y t e s t is n e e d e d a t t h i s t i m e

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Question 6What are some things the nurse should teach a pregnantpatient about her breasts?She can expect her areolae to become larger and darker incolor.b. Breasts may begin secreting milk after the fourth month ofpregnancy.c. She should inspect her breasts for visible veins andimmediately report these.d. During pregnancy, breast changes are fairly uncommon;most of the changes occur after the birth.Question 7W h i c h s t a t e m e n t b y t h e n u r s e is c o r r e c t w h e n t e a c h i n g ap r e g n a n t w o m a n a b o u t b r e a s t m i l k ?a. Y o u r b r e a s t m i l k is i m m e d i a t e l y p r e s e n t a f t e r t h e d e l i v e r y o fy o u r b a b y .b . Breast m i l k is r i c h i n p r o t e i n a n d sugars (lactose) b u t has veryl i t t l e f a t .c. T h e c o l o s t r u m , w h i c h is p r e s e n t r i g h t a f t e r b i r t h , d o e s n o tc o n t a i n t h e s a m e n u t r i e n t s as b r e a s t m i l k .© Y o um a y n o t i c e a t h i c k , y e l l o w f l u i d expressed f r o m y o u rb r e a s t s as e a r l y as t h e f o u r t h m o n t h o f p r e g n a n c y8

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Question 8What explanation should the nurse offer her patient whostates that she cannot believe her breasts sag so much aftermenopause?a. Only women with large breasts experience sagging.b. Sagging is usually due to decreased muscle mass within thebreast.c. A diet that is high in protein will help maintain musclemass, which keeps the breasts from sagging.(3)The glandular and fat tissue atrophies, causing breast sizeand elasticity to diminish, resulting in breasts that sag.Question 9W h a t i s t h e nurse’s b e s t c o u r s e o f a c t i o n f o r a n o l d e r m a l e p a t i e n tw i t h b i l a t e r a l g y n e c o m a s t i a ?a. Recommend that he make an appointment with his physicianfor a mammogram.b. Ignore it. Benign breast enlargement in men is not unusual.© E x p l a i n that this condition may be t h e result o f hormonalcnanges and recommend that he see his physician.d. Explain that gynecomastia i n men is usually associated withprostate enlargement and recommend that he be thoroughlyscreened1 0

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