A nurse is caring for a client who has fibrocystic breasts. The client asks the nurse, "What will happen to my fibrocystic breast changes after menopause?" Which of the following statements is an appropriate response by the nurse?
"You will be at increased risk of breast cancer."
"The manifestations often get worse after menopause."
"Menopause won't have any effect on the manifestations."
"The manifestations usually go away after menopause."
The Correct Answer is D
Choice A reason:
Telling a client that they will be at an increased risk of breast cancer due to fibrocystic breast changes would be incorrect. Fibrocystic breast changes are not directly linked to an increased risk of breast cancer. While the presence of complex fibrocystic changes may slightly elevate the risk, fibrocystic breasts themselves are a common and benign condition.
Choice B reason:
It is not accurate to say that the manifestations of fibrocystic breasts often get worse after menopause. In fact, fibrocystic changes are related to hormone levels, and most women experience relief from these symptoms after menopause when hormone levels decline.
Choice C reason:
Stating that menopause won't have any effect on the manifestations is also incorrect. Menopause typically leads to a decrease in hormone levels, which are associated with fibrocystic breast changes. Therefore, most women see an improvement in their symptoms after menopause.
Choice D reason:
The most appropriate response is that the manifestations usually go away after menopause. Fibrocystic breast changes are linked to hormonal fluctuations, and after menopause, when these fluctuations cease, the symptoms of fibrocystic breasts typically resolve.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason:
Cosmetic surgery is performed to improve the appearance of a body part. It is elective and usually not medically necessary. In the case of fallopian tube removal due to endometriosis, the surgery is not performed for aesthetic reasons but to relieve pain and treat a medical condition.
Choice B reason:
Diagnostic surgery is carried out to diagnose a condition. While endometriosis can be diagnosed through surgery, the removal of the fallopian tube in this scenario is not for diagnostic purposes but rather for treatment.
Choice C reason:
Constructive surgery is done to restore function or normal appearance by reconstructing defective organs or body parts. The removal of the fallopian tube for endometriosis does not fit this category as it does not aim to reconstruct but rather to remove a part causing pain.
Choice D reason:
Ablative surgery involves the removal of an organ or abnormal growth. It is often used to treat conditions that cause pain or to prevent further complications. The removal of the fallopian tube due to severe endometriosis falls under this category as it aims to alleviate symptoms and prevent further issues related to the condition.
Correct Answer is C
Explanation
Choice A reason:
Determining the client's understanding of the procedure is important as it ensures informed consent and can help alleviate anxiety. However, while this is a necessary part of preoperative care, it may not be the immediate priority¹.
Choice B reason:
Establishing the need for psychological support is a valuable aspect of holistic care. It addresses the client's emotional well-being and can improve overall satisfaction with the surgical experience. Nonetheless, it is not the primary focus of the preoperative assessment².
Choice C reason:
Identifying possible surgical risks is the priority in a preoperative assessment. This includes evaluating the client's medical history, current health status, and any factors that could increase the risk of complications during or after surgery. A thorough risk assessment is crucial for planning safe surgical care and for making decisions about proceeding with the surgery¹³.
Choice D reason:
Recognizing resources needed postoperatively is part of discharge planning and is essential for ensuring continuity of care. While it is an important consideration, it is not the immediate priority during the preoperative assessment².
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