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Nsg 6430 week 4 soap note 2024 with complete solution; south university
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Running head: WEEK 4 DISCUSSION 1Week 4 Discussion
Jennifer Evans
NSG 6430
November 24, 2018
Dr. Coleman
This study source was downloaded by 100000851720696 from CourseHero.com on 06-21-2024 18:44:56 GMT -05:00
https://www.coursehero.com/file/37002815/NSG-6430-Week-4-Discussiondocx/
, WEEK 4 DISCUSSION 2
Week 4 Discussion
Discuss the questions that would be important to include when interviewing a patient
with this issue.
Important questions to ask this patient include: Is the lump movable or painful? Is
the lumpiness on both breast or just one, did it begin gradually or suddenly? Is there only
one lump or are there many? Are you taking any hormones for any reason? Have you had
any recent traumas to your chest such as an automobile accident or recent surgery? Do
you have a fever or is the skin warm? Do you have breast discharge in one or both breasts
do it come from one part of the nipple or all parts of the nipple? Does the discharge come
out by itself or do you have to express it? (Access Medicine, 2018).
Describe the clinical findings that may be present in a patient with this issue.
Clinical manifestations of breast mass are painless, hard, fixed non-mobile lump.
Breast are non-tender to physical exam bilaterally, no nipple discharge, no inflammation.
The patient in the ihuman case study had a 2.5-centimeter mass that is palpable in the
upper-inner quadrant at the 2 o’clock position with no skin fixation or inflammation in
the right breast, the second area was 2.0 cm in the right breast with a lesion and is
palpable at the 12 o’clock position and no skin fixation or inflammation was noted. The
axillary lymphadenopathy to palpation noted a one-centimeter right axillary lymph node
that is firm but mobile (American Cancer Society, 2018).
Are there any diagnostic studies that should be ordered on this patient? Why?
Diagnostic studies that is appropriate for this patient are a breast biopsy where a
fine needle is utilized for aspiration and biopsy, a pathologist will examine the fluid or
tissue to determine if the cells are cancer cells. If the sample fluid is clear, bloody, or
cloudy it is most likely a cyst. A mammogram is also ordered to identify masses,
This study source was downloaded by 100000851720696 from CourseHero.com on 06-21-2024 18:44:56 GMT -05:00
https://www.coursehero.com/file/37002815/NSG-6430-Week-4-Discussiondocx/
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