Breast Cancer Independent Study

Student Name: ______________________________

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NURSING 304 BREAST CANCER Independent Study: Class Activity Grade DIRECTIONS: Each student is to complete this activity independently. Each student is to handwrite answers on this form using blue ink. The back of each page may be utilized if more space is needed. A 45 year-old female found a lump in her right breast one morning while showering. She was diagnosed with stage T2 N1 M0 infiltrating ductal breast cancer based on a lumpectomy and axillary lymph node dissection. She received daily radiation to the breast for 6 weeks and was prescribed the medication tamoxifen for an indefinite period of time. 1.

Discuss the etiology of breast cancer? (2 pts)

2.

What are some risk factors for breast cancer? (2 pts)

3.

Define and differentiate the following: (8 pts) Condition Description Carcinoma in situ (noninvasive) Ductal carcinoma in situ (DCIS)

Lobular carcinoma in situ (LCIS) Infiltrating ductal carcinoma

4.

What are the clinical manifestations of breast cancer? (2 pts)

2

5.

List the common sites of breast cancer metastasis. (2 pts)

6.

Describe the technique for performing breast self exam (BSE)correctly. (2 pts)

7.

What are the methods used to diagnose breast cancer? (2 pts)

8.

Discuss what T2 N1 M0 infiltrating ductal breast cancer means. (2 pts)

9.

Discuss estrogen replacement therapy (ERT) and the relationship to breast cancer. (2 pts)

10.

What is tamoxifen and what role does long-term tamoxifen therapy play in the prevention/treatment of breast cancer? (2 pts)

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11.

Why is an axillary lymph node dissection performed along with a lumpectomy? (2 pts)

12.

Discuss prophylactic mastectomy and when and why it might be performed. (2 pts)

13.

Is is possible for a man to develop breast cancer? Explain. (2 pts)

14.

Describe 5 postoperative mastectomy exercises that the nurse should teach to and be performed by a breast surgery client. (5 pts) a. b. c. d.

15.

e. Define and differentiate the following breast surgeries: (10 pts) Breast Surgery Axillary node dissection

Definition/Extent of Surgery

4

Lumpectomy

Total mastectomy

Modified radical mastectomy

Radical mastectomy

16.

Describe the nursing care for a client who has had breast surgery (include from simple to extensive surgical care). (10 points)

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17.

What would be important information to include if you were to conduct a breast cancer workshop? (2 pts)

18.

A woman post-mastectomy might develop swelling in the arm on the same side as her mastectomy. a.

What is this swelling called? (1 pt)

b.

What is the pathophysiology of this swelling and why does it occur? (2 pts)

c.

List 5 interventions to prevent and treat the swelling. (5 pts) 1. 2. 3. 4.

19.

5. List 3 Baton Rouge community resources that the nurse could recommend for the client who has breast cancer. (Try asking people you know or nurses in clinical) (3 pts) a. b. c.

20. Write 4 nursing diagnoses with correct NANDA, RT, and AMB for a client has undergone breast surgery. Include at least one psychosocial NANDA. (12 pts) a.

who

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b.

c.

d.

21.

A client with newly diagnosed invasive breast cancer (male or female) could have many psychosocial issues with which to deal. a. Describe one defense mechanism this client might utilize and explain why they would use it. (2 pts)

b. Describe a therapeutic communication technique a nurse might utilize in working with the above described client who is utilizing the defense mechanism you have identified. (2 pts)