Ch. 65 Patients w/ Breast Disorders

Question 1

Breast Cancer

Answer 1

Begins as a single transformed cell that grows and multiplies in the epithelial cells lining one or more mammary ducts or nobles

Question 2

Ductal Carcinoma

Answer 2

Cancer grows into surrounding breast tissue

Metastasis spreads to blood/lymph nodes = brain, bone, liver and lung

Question 3

Inflammatory Breast Cancer

Answer 3

Rare and rapid form of cancer

Question 4

Breast Cancer Risk Factors

Answer 4

Female

Age

Genetics/Family hx

Obesity

Ionizing radiation

Bone density

BCP

HRT

Alcohol

Question 5

Breast Cancer Clinical Manifestations

Answer 5

Irregular, poorly defined mass

Dimpling of skin d/t fibrosis (late)

Edema thickening w/ breast skin turns orange (late)

Question 6

Prevention of Breast Cancer

Answer 6

Mammogram: 1-2 yr >55 yr old; annual if 45 yr old

Breast Self-Examination: monthly

Clinical Breast Exam: every 3 years after age 40

Question 7

Breast Cancer Nursing Priorities & Interventions

Answer 7

Decreasing risk of metastasis

Education and treatment is prevention or stopping spread of tumor cells

Surgery = lumpectomy or mastectomy

Radiation-Brachytherapy

Chemotherapy for invasive

Question 8

Mastectomy Post Op Care

Answer 8

Pain management

HOB 30 degrees and affected arm elevated

Repositioning

Monitor JP drain output

Coping strategies, support systems

Question 9

Mastectomy Complications

Answer 9

Risk of infection or injury

Lymphedema

Question 10

Lymphedema

Answer 10

Abnormal accumulation of protein fluid in the subcutaneous tissue of affected limb after mastectomy

S/S: swelling, achy, numbness

Treatment: compression sleeve/glove, exercises for lymph drainage management, pain management

Question 11

Benign Prostatic Hyperplasia (BPH)

Answer 11

Age associated prostate gland enlargement that can cause urination difficulty

Risk factors: obesity, HTN, coffee, DM, race, genes

Question 12

People with BPH are at a higher risk of developing what?

Answer 12

Prostate cancer

Question 13

BPH Clinical Manifestations

Answer 13

Difficulty starting urine flow

Weak stream

Leaking or dribbling after urination

Hematuria

Question 14

BPH Nursing Priorities & Interventions

Answer 14

Improving urinary elimination

Avoid drinking fluids before bed

Avoid ETOH & caffeine

Drug therapy

Transurethral resection of the prostate (TURP)

Question 15

BPH Complications

Answer 15

Renal or kidney problems

Infections

Question 16

TURP

Answer 16

Continuous bladder irrigation

Risk factors: bleeding, infection, pain, urinary output