General symptoms found with breast disorders??

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

inflammation of the breast tissue

• most commonly seen in women who breast feed

Mastitis

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

Mastitis

Tx for clients w/ Mastitis?

• 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

localized collection of pus in breast tissue

• most commonly a complication of clients with postpartum mastitis

Breast abscess

This client presents w/:

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

Breast abscess

medical and surgical management for breast abscess

• 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

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

Breast Cancer

What diagnostic test is used to detect breast cancer?

Mammogram

Medical and Surgical tx for Breast Cx?

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

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

Alcohol

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

providing the greatest period of palliation

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

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

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

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

- wall hand climbing

- rope turning

- rod or broomstick lifting

- pulley tugging

What should be removed before a mammogram?

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