NR 325 - FINAL EXAM STUDY GUIDE 200+ QUESTIONS WITH 100% CORRECT ANSWERS
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Course
NR 325
Institution
NR 325
NR 325 - FINAL EXAM STUDY GUIDE 200+ QUESTIONS WITH 100% CORRECT ANSWERS/NR 325 - FINAL EXAM STUDY GUIDE 200+ QUESTIONS WITH 100% CORRECT ANSWERS/NR 325 - FINAL EXAM STUDY GUIDE 200+ QUESTIONS WITH 100% CORRECT ANSWERS
NR 325 - FINAL EXAM STUDY GUIDE
BREAST CANCER SCREENING GUIDELINES - correct answer regular screening mammography
starting at age 45 years.
Women aged 45 to 54 years should be screened annually.
Women 55 years and older should transition to biennial screening or have the opportunity to
continue screening annually.
continue screening mammography as long as overall health is good and life expectancy is 10
years or longer
THE BREAST SELF-EXAMINATION - correct answer lie down and place one arm behind the head
use finger pads of three middle fingers of the other hand to feel for lumps
use overlapping dime-sized circular motions to feel the breast tissue
use three different levels of pressure
up-and-down vertical pattern is recommended
stand in a front a mirror; examine breasts for:
- shape
- size
- redness/scaliness
- dimpling (skin/nipple)
MASTITIS - correct answer inflammation of the breast
,NR 325 - FINAL EXAM STUDY GUIDE
occurs in up to 10% of postpartum lactating mothers 2-4 weeks after birth
MASTITIS - CLINICAL MANIFESTATIONS - correct answer warm to touch
indurated/painful
often unilateral
most commonly caused by staphylococcus aureus
BEST TIME TO PERFORM SELF BREAST EXAM (BSE) - correct answer Perform BSE at the end of
the menstrual period
breast tenderness is less likely to occur
RISK FACTORS FOR BREAST CANCER - correct answer early menarche
late menopause
Age - at or older than 50 yrs
hormone use
Family history/Genetics
History of cancer (breast, colon, endometrial, ovarian)
,NR 325 - FINAL EXAM STUDY GUIDE
First full term pregnancy after age 30
nulliparity (never given birth)
benign breast disease (atypical epithelial hyperplasia)
weight gain/obesity after menopause
exposure to ionizing radiation
alcohol consumption
ADVANTAGE OF FINE-NEEDLE ASPIRATION (FNA) BIOPSY - correct answer FNA is performed in
outpatient settings
results are available within 24-48 hours
no incision required
BREAST LUMPS - ASSESSMENT - correct answer *painless* and *fixed* lumps suggest breast
cancer/malignancy
HORMONE THERAPY (HT) - correct answer *HT has been linked to increased risk for breast
cancer*; patient and HCP must determine whether or not HT therapy is appropriate
*Breast cancer incidence is increased in women using HT*, independent of other risk factors
, NR 325 - FINAL EXAM STUDY GUIDE
HT increases the risk for both non-BRCA-associated cancer and BRCA-related cancers
CLASSIFICATION OF BREAST CANCER - correct answer based on tissue type
based on invasiveness
based on hormone receptor and genetic status
CLASSIFICATION OF BREAST CANCER - BASED ON ON TISSUE TYPE - correct answer Ductal
carcinoma (milk ducts)
- Medullary
- Tubular
- Colloid (mucinous)
Lobular carcinoma (milk-producing glands)
Other
- Inflammatory
- Paget's disease
- Phyllodes tumor
CLASSIFICATION OF BREAST CANCER - BASED ON INVASIVENESS - correct answer Noninvasive
(In situ)
- ductal carcinoma in situ (DCIS)
- lobular carcinoma in situ (LCIS)
Invasive (spreads)
- invasive ductal carcinoma
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