Physical Examination and Health Assessment 8th Edition 0323510809
Chapter 18: Breasts, Axillae, and Regional Lymphatics Jarvis: Physical Examination and Health Assessment, 8th Edition MULTIPLE CHOICE 1. Which of the following statements is true regarding the internal structures of the breast? a. Fibrous, glandular, and adipose tissues b. Primarily muscle with very little fibrous tissue c. Primarily milk ducts, known as lactiferous ducts d. Glandular tissue, which supports the breast by attaching to the chest wall ANS: A
The breast is made up of glandular, fibrous (including the suspensory ligaments), and adipose tissues. DIF: Cognitive Level: Remembering (Knowledge) General
MSC: Client Needs:
2. In performing a breast examination, the nurse knows that examining the upper outer quadrant
of the breast is especially important. What is the reason for this? a. It is the largest quadrant of the breast. b. It is the most common location of breast tumors. c. It is where the majority of suspensory ligaments attach. d. It is more prone to injury and calcifications than other locations in the breast. ANS: B
The upper outer quadrant is the site of most breast tumors. In the upper outer quadrant, the nurse should notice the axillary tail of Spence, the cone-shaped breast tissue that projects up into the axilla, close to the pectoral group of axillary lymph nodes. The other options are incorrect. DIF: Cognitive Level: Understanding (Comprehension) MSC: Client Needs: Health Promotion and Maintenance 3. In performing an assessment of a woman’s axillary lymph system, the nurse should assess
which of these nodes? a. Central, axillary, lateral, and sternal b. Pectoral, lateral, anterior, and sternal c. Central, lateral, pectoral, and subscapular d. Lateral, pectoral, axillary, and suprascapular ANS: C
The breast has extensive lymphatic drainage, but there are no sternal or suprascapular lymph nodes. The four groups of axillary nodes are the (1) central, (2) pectoral (anterior), (3) subscapular (posterior), and (4) lateral. DIF: Cognitive Level: Understanding (Comprehension) MSC: Client Needs: Health Promotion and Maintenance 4. If a patient reports a recent breast infection, then the nurse should expect to find what type of
node enlargement?
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