A local anesthetic is given before stereotactic biopsy. NPO status is not needed because no
sedative drugs are given. The patient is placed in the prone position. A biopsy gun is used to
obtain the specimens. - ANS-Which information will the nurse include in patient teaching for a
36-yr-old patient
who is scheduled for stereotactic core biopsy of the breast?
a. A local anesthetic will be given before the biopsy specimen is obtained.
b. You will need to lie flat on your back and lie very still during the biopsy.
c. A thin needle will be inserted into the lump and aspirated to remove tissue.
d. You should not have anything to eat or drink for 6 hours before the procedure.
A
A patient whose breast cancer tests negative for all three receptors (estrogen, progesterone,
and HER-2) has triple-negative breast cancer. These cancers do not usually respond to
hormone therapy or therapy for the human epidermal growth factor receptor 2 (HER-2).
Chemotherapy appears to have the most success in treating triple-negative breast cancer. -
ANS-A patient diagnosed with breast cancer asks the nurse what "triple negative" means. An
accurate response from the nurse about triple-negative breast cancer should include that
a. the tumor is not likely to be responsive to hormone therapy.
b. HER-2 receptor testing was repeated for a total of three samples.
c. treatment with chemotherapy is not likely to be recommended.
d. estrogen receptor testing identified the three hormones causing the cancer.
A
FNA is done in outpatient settings, and results are available in 24 to 48 hours. No incision is
needed. FNA
may be guided by ultrasound but not by mammogram. Because the immobility of the breast
lump suggests cancer, further testing will be done if the FNA results are negative. - ANS-A
51-yr-old patient with a small immobile breast lump is considering having a fine-
, needle aspiration (FNA) biopsy. The nurse explains that an advantage to this procedure is that
a. FNA is done in the outpatient clinic, and results are available in 1 to 2 days.
b. only a small incision is needed, resulting in minimal breast pain and scarring.
c. if the biopsy results are negative, no further diagnostic testing will be needed.
d. FNA is guided by a mammogram, ensuring that cells are taken from the lesion.
A
Tamoxifen is used as a chemopreventive therapy in some patients with LCIS. The other
diagnostic tests and therapies are not needed because LCIS does not usually require treatment.
- ANS-The nurse will anticipate teaching a patient who is diagnosed with lobular carcinoma in
situ (LCIS) about
a. tamoxifen c. lymphatic mapping.
b. lumpectomy. d. MammaPrint testing.
A
Tamoxifen is used for estrogen-dependent breast tumors in premenopausal women. Raloxifene
is used to prevent breast cancer, but it is not used postmastectomy to treat breast cancer.
Estradiol will increase the growth of estrogen-dependent tumors. Trastuzumab is used to treat
tumors that have the HER-2 receptor. - ANS-After a 48-yr-old patient has had a modified radical
mastectomy, the pathology report
identifies the tumor as an estrogen-receptor positive adenocarcinoma. The nurse will plan to
teach the patient about
a. tamoxifen
b. estradiol (Estrace).
c. raloxifene (Evista).
d. trastuzumab (Herceptin).
A
This response shows sensitivity to the individual patient's need for information about the
surgery. The
other responses are also accurate, but the nurse should tailor patient teaching to individual
patient
preferences. - ANS-A patient who is scheduled for a lumpectomy and axillary lymph node
dissection tells
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