NCLEX RN Practice Question # 602
NCLEX Examination.
Practice Question # 602.
Nclex
Breast Cancer
Description
- Breast cancer is classified as invasive when it penetrates the tissue surrounding the mammary duct and grows in an irregular pattern.
- Metastasis occurs via lymph nodes.
- Common sites ofmetastasis are the bone and lungs; metastasis may also occur to the brain and liver.
- Diagnosis is made by breast biopsy through a needle aspiration or by surgical removal of the tumor with microscopic examination for malignant cells.
Risk factors
- Age
- Family history of breast cancer
- Early menarche and late menopause
- Previous cancer of the breast, uterus, or ovaries
- Nulliparity, late first birth
- Obesity
- High-dose radiation exposure to chest
Assessment
- Mass felt during BSE
- Mass usually felt in the upper outer quadrant, beneath the nipple, or in axilla
- A fixed, irregular nonencapsulated mass; typically painless except in the late stages
- Nipple retraction or elevation
- Asymmetry, with the affected breast being higher
- Bloody or clear nipple discharge
- Skin dimpling, retraction, or ulceration