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Free NCLEX-RN Exam Braindumps (page: 31)

Page 31 of 431
PDF with 862 Questions

Which of the following risk factors associated with breast cancer would a nurse consider most significant in a client's history?

  1. Menarche after age 13
  2. Nulliparity
  3. Maternal family history of breast cancer
  4. Early menopause

Answer(s): C

Explanation:

(A) Women who begin menarche late (after 13 years old) have a lower risk of developing breast cancer than women who have begun earlier. Average age for menarche is 12.5 years. (B) Women who have never been pregnant have an increased risk for breast cancer, but a positive family history poses an even greater risk. (C) A positive family history puts a woman at an increased risk of developing breast cancer. It is recommended that mammography screening begin 5 years before the age at which an immediate female relative was diagnosed with breast cancer. (D) Early menopause decreases the risk of developing breast cancer.



Which of the following risk factors associated with breast cancer would a nurse consider most significant in a client's history?

  1. Menarche after age 13
  2. Nulliparity
  3. Maternal family history of breast cancer
  4. Early menopause

Answer(s): C

Explanation:

(A) Women who begin menarche late (after 13 years old) have a lower risk of developing breast cancer than women who have begun earlier. Average age for menarche is 12.5 years. (B) Women who have never been pregnant have an increased risk for breast cancer, but a positive family history poses an even greater risk. (C) A positive family history puts a woman at an increased risk of developing breast cancer. It is recommended that mammography screening begin 5 years before the age at which an immediate female relative was diagnosed with breast cancer. (D) Early menopause decreases the risk of developing breast cancer.



The nurse should know that according to current thinking, the most important prognostic factor for a client with breast cancer is:

  1. Tumor size
  2. Axillary node status
  3. Client's previous history of disease
  4. Client's level of estrogen-progesterone receptor assays

Answer(s): B

Explanation:

(A) Although tumor size is a factor in classification of cancer growth, it is not an indicator of lymph node spread. (B) Axillary node status is the most important indicator for predicting how far the cancer has spread. If the lymph nodes are positive for cancer cells, the prognosis is poorer. (C) The client's previous history of cancer puts her at an increased risk for breast cancer recurrence, especially if the cancer occurred in the other breast. It does not predict prognosis, however. (D) The estrogen-progesterone assay test is used to identify present tumors being fedfrom an estrogen site within the body. Some breast cancers grow rapidly as long as there is an estrogen supply such as from the ovaries. The estrogen-progesterone assay test does not indicate the prognosis.



The nurse should know that according to current thinking, the most important prognostic factor for a client with breast cancer is:

  1. Tumor size
  2. Axillary node status
  3. Client's previous history of disease
  4. Client's level of estrogen-progesterone receptor assays

Answer(s): B

Explanation:

(A) Although tumor size is a factor in classification of cancer growth, it is not an indicator of lymph node spread. (B) Axillary node status is the most important indicator for predicting how far the cancer has spread. If the lymph nodes are positive for cancer cells, the prognosis is poorer. (C) The client's previous history of cancer puts her at an increased risk for breast cancer recurrence, especially if the cancer occurred in the other breast. It does not predict prognosis, however. (D) The estrogen-progesterone assay test is used to identify present tumors being fedfrom an estrogen site within the body. Some breast cancers grow rapidly as long as there is an estrogen supply such as from the ovaries. The estrogen-progesterone assay test does not indicate the prognosis.



Page 31 of 431



Post your Comments and Discuss NCLEX NCLEX-RN exam with other Community members:

Naveen Ahlam commented on November 29, 2024
Great stuff
Anonymous
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Isadora Guimarães commented on November 10, 2024
Very good to study
UNITED STATES
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Marydee commented on April 02, 2020
Just purchased, will see if it is the real deal. Will give a further update later!
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