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Asked by MegaApeMaster110

Title: Breast Mass

 

Scenario: Renee is a 43-year-old female who presents to her gynecology office to follow up on a breast lump she discovered while performing a self-exam two days ago. Renee explains she has a family history of breast cancer. Her mother was diagnosed with stage III breast cancer at 40 years and passed away 5 years later. Renee’s sister tested BRACA + and elected to undergo a prophylactic double mastectomy. Renee underwent BRACA testing and was found to be + but she elected not to undergo the surgery. Considering the strong family history, Renee presents annually for mammograms and performs self-breast exams once a month. Two days ago, while performing her monthly exam in the shower, Renee felt a firm, nontender lump in the right breast located “to the right of the nipple.” She immediately called to schedule an appointment for consultation.

 

Renee denies any associated symptoms including fatigue, changes to the skin of the breast, pain, discharge from the nipples, or sore lymph nodes. She describes herself as “healthy” and has no documented medical conditions. Her last mammogram was four months ago and “normal.” Her only daily medication is a multivitamin. She works full-time as an environmental engineer and denies any known occupational hazards. She was previously married but divorced ten years ago. She has no children and denies any history of pregnancy. She is currently on day 4 of her menstrual cycle which is regular in occurrence every 28 days. 

 

The nurse prepares to perform a breast exam on Renee to evaluate the palpable mass.

 

Item Type: Extended Multiple Response

When documenting pertinent objective findings related to the breast mass characteristics, the nurse includes information on (Select all that apply.)

Location
Size
Age of menarche
Shape
Sexual orientation
Consistency
Tenderness
Skin turgor
Presence of striae
Mobility
Borders
Tissue retractions

 

Answer(s):

SCIENCE
HEALTH SCIENCE
NURSING
NR 304

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