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Chapter 54: Caring for Clients With Breast Disorders

front 1

General symptoms found with breast disorders??

back 1

  • breast tenderness or pain
  • breast mass
  • nipple discharge
  • change in breast appearance

front 2

inflammation of the breast tissue

  • most commonly seen in women who breast feed

back 2

Mastitis

front 3

This client presents w/:

  • breast tenderness, pain, and redness
  • swollen, firm, and hard breasts
  • a crack in the nipple and areola develops
  • axillary lymph nodes enlarge

back 3

Mastitis

front 4

Tx for clients w/ Mastitis?

back 4

  • Antibiotics (confirm allergies)
  • Prepare client for physical examinations
  • collect specimen of breast milk
  • Teach client to:

- adhere to medication regimen

- report any side effects

- use lanolin ointment to dry/cracked nipples

- avoid wearing breast shields

- apply warm soaks to breast or let warm water flow onto breasts while showering

front 5

localized collection of pus in breast tissue

  • most commonly a complication of clients with postpartum mastitis

back 5

Breast abscess

front 6

This client presents w/:

  • s/s of mastitis
  • pus that drains from nipple

back 6

Breast abscess

front 7

medical and surgical management for breast abscess

back 7

  • contact isolation precautions b/c soiled dressings are highly contagious
  • IV antibiotics
  • The nurse removes and applies dressings use aseptic technique
  • Zinc oxide is used to apply on skin to prevent macerations

front 8

This client presents w/:

  • painless mass in breast in the upper outer quadrant
  • bloody discharge from nipple
  • dimpling of the skin over the lesion
  • retraction of the nipple
  • peau d'orange (orangle peel) appearance of the skin
  • difference of size b/t the breasts
  • enlarged axillary lymph nodes

back 8

Breast Cancer

front 9

What diagnostic test is used to detect breast cancer?

back 9

Mammogram

front 10

Medical and Surgical tx for Breast Cx?

back 10

  • Chemo
  • Radiation
  • Surgery (lumpectomy, partial mastectomy, total mastectomy, subcutaneous mastectomy, modified radical mastectomy, radical mastectomy
  • Immunotherapy

front 11

The strongest link b/t diet and breast cancer is what?

back 11

Alcohol

front 12

What is the tx for clients w/ metastatic breast cancer?

back 12

providing the greatest period of palliation

front 13

REVIEW NURSING INTERVENTIONS ON PAGES 992-994 FOR TREATING CLIENTS TAKING CHEMO!! INCLUDING CLIENT FAMILY TEACHING!

back 13

REVIEW NURSING INTERVENTIONS ON PAGES 992-994 FOR TREATING CLIENTS TAKING CHEMO!!

front 14

what should you get your client to do post surgery for breast cancer?

back 14

  • Arm exercises (if they don't do these, they will have limited mobility)

- wall hand climbing

- rope turning

- rod or broomstick lifting

- pulley tugging

front 15

What should be removed before a mammogram?

back 15

  • Jewelry
  • Deodorant
  • let staff know if they've had any implants