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Post-Operative Care for Breast Cancer Patients
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Post-Operative Care for Breast Cancer Patients

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Questions and Answers

What type of exercise is generally recommended for patients recovering from breast cancer surgery?

  • Complete bed rest for at least 6 weeks
  • High-intensity aerobic workouts
  • Weightlifting and strength training immediately after surgery
  • Gentle, low-impact exercises such as walking and stretching (correct)
  • What is a primary complication to be monitored following lymph node removal surgery in breast cancer patients?

  • Enhanced immune function
  • Increased energy levels
  • Lymphedema (correct)
  • Rapid weight loss
  • Which diet is recommended for patients recovering from breast cancer surgery to enhance healing?

  • Fasting to cleanse the body of toxins
  • Low-protein diet to minimize complications
  • Balanced diet rich in antioxidants and nutrients (correct)
  • High-sugar diet for increased energy
  • Which postoperative symptom should be a cause for immediate concern in breast cancer surgery patients?

    <p>High fever and signs of infection</p> Signup and view all the answers

    What immediate activity should be avoided post breast cancer surgery to prevent complications?

    <p>Starting a structured weightlifting program</p> Signup and view all the answers

    To prevent complications post-breast cancer surgery, which practice should patients avoid?

    <p>Strict dietary restrictions</p> Signup and view all the answers

    During recovery from breast cancer surgery, what common advice is given regarding physical activity?

    <p>Incorporating light stretching and gradual increases in activity</p> Signup and view all the answers

    What should patients recovering from breast cancer surgery prioritize in their post-operative care?

    <p>Monitoring for indicators of lymphedema and infection</p> Signup and view all the answers

    What indicates that hormone therapy is not an effective treatment option for triple-negative breast cancer?

    <p>Lack of hormone receptor expression</p> Signup and view all the answers

    Which treatment is primarily used for managing triple-negative breast cancer due to its aggressive nature?

    <p>Surgery followed by chemotherapy</p> Signup and view all the answers

    What is a common side effect of chemotherapy that needs monitoring in triple-negative breast cancer patients?

    <p>Neutropenia</p> Signup and view all the answers

    Which genetic mutation is significantly linked to an elevated risk for developing triple-negative breast cancer?

    <p>BRCA1 mutation</p> Signup and view all the answers

    In the event of a recurrence of triple-negative breast cancer following initial therapy, which treatment strategy is typically employed?

    <p>Salvage chemotherapy</p> Signup and view all the answers

    Which of the following is NOT a characteristic of triple-negative breast cancer?

    <p>Sensitivity to hormone therapy</p> Signup and view all the answers

    What is the role of surgery in the initial treatment of triple-negative breast cancer?

    <p>To remove all cancer cells completely</p> Signup and view all the answers

    Which treatment option is least likely to be effective for a patient with triple-negative breast cancer?

    <p>Hormone therapy</p> Signup and view all the answers

    What is the best recommendation for the 40-year-old woman with a strong family history of breast cancer regarding risk reduction?

    <p>Genetic counseling and testing for BRCA mutations</p> Signup and view all the answers

    Why is genetic testing for BRCA mutations not recommended for the 30-year-old woman with no family history of breast cancer?

    <p>Genetic testing is not recommended for you because you have no family history of breast cancer.</p> Signup and view all the answers

    What factor significantly influences the recommendation for genetic testing for breast cancer in women?

    <p>Strong family history of breast cancer</p> Signup and view all the answers

    Which intervention is least likely to be appropriate for someone without a family history of breast cancer?

    <p>Genetic counseling and testing for BRCA mutations</p> Signup and view all the answers

    What should a nurse emphasize when discussing breast cancer risk assessment with a woman concerned about her risk but with no family history?

    <p>Focus should be on individual health factors rather than family history.</p> Signup and view all the answers

    What is the most appropriate treatment option for patients with tumors positive for both ER and PR?

    <p>Hormone therapy</p> Signup and view all the answers

    What should a nurse do when noticing an increase in wound drainage and odor after a mastectomy?

    <p>Notify the healthcare provider immediately.</p> Signup and view all the answers

    Which intervention is most important for a nurse providing emotional support to a patient post-mastectomy?

    <p>Recommend counseling or support groups for body image issues.</p> Signup and view all the answers

    After a modified radical mastectomy, which complication should a nurse prioritize when discussing long-term effects?

    <p>Lymphedema.</p> Signup and view all the answers

    Which therapy choice is generally less favorable for tumors that are hormone-receptor positive?

    <p>Chemotherapy</p> Signup and view all the answers

    In the event of a foul odor from a surgical site post-mastectomy, which assessment finding most strongly indicates a need for immediate action?

    <p>An increase in drainage.</p> Signup and view all the answers

    What factor is crucial when assessing for complications after a mastectomy?

    <p>Extent of surgical intervention.</p> Signup and view all the answers

    Which treatment option is less likely to be used as a direct intervention for breast cancer patients compared to hormone therapy?

    <p>Supplementary nutrition</p> Signup and view all the answers

    Which benign breast disorder is typically associated with cyclic breast pain and tenderness?

    <p>Fibrocystic changes</p> Signup and view all the answers

    What is the most likely cause of milky nipple discharge in a woman?

    <p>Intraductal papilloma</p> Signup and view all the answers

    A painless, well-defined breast mass that changes size during the menstrual cycle is most likely what diagnosis?

    <p>Fibroadenoma</p> Signup and view all the answers

    What diagnosis is characterized by abnormal epithelial cell proliferation in the breast ducts without invasion?

    <p>Ductal carcinoma in situ (DCIS)</p> Signup and view all the answers

    Which hormone receptor status is linked with a higher risk of breast cancer recurrence and resistance to therapy?

    <p>Human epidermal growth factor receptor 2-positive (HER2+)</p> Signup and view all the answers

    What breast condition presents as mobile, smooth, and tender to touch?

    <p>Fibrocystic changes</p> Signup and view all the answers

    Nipple discharge that is commonly single duct involvement and can be either milky or bloody is usually due to what condition?

    <p>Intraductal papilloma</p> Signup and view all the answers

    Which type of breast tumor is known to change in size due to hormonal fluctuations?

    <p>Fibroadenoma</p> Signup and view all the answers

    Study Notes

    Post-Operative Breast Cancer Recovery

    • Gentle, low-impact exercises are recommended for recovery.
    • High-intensity workouts, bed rest, and immediate weightlifting are discouraged.
    • Lymphedema, swelling in the arm or chest after lymph node removal, must be closely monitored.

    Breast Cancer Surgery Diet

    • A balanced diet with antioxidants and nutrients is recommended for healing.
    • High-sugar, low-protein diets, and fasting are not advised.

    Post-Operative Complications

    • High fever, redness, swelling, and discharge around the surgical incision indicate possible infection and require immediate medical attention.
    • Mild pain, redness, and temporary numbness are common during recovery and should be discussed with healthcare providers.

    Triple-Negative Breast Cancer (TNBC)

    • Primary treatment involves surgery (mastectomy or lumpectomy) followed by chemotherapy.
    • Hormone therapy and targeted therapy for HER2 are not effective for TNBC.

    Chemotherapy Side Effects in TNBC

    • Neutropenia, a low white blood cell count, is a common side effect of chemotherapy and can lead to infections.
    • Close monitoring for neutropenia is crucial.

    TNBC Genetic Mutation

    • BRCA1 gene mutation increases the risk of developing TNBC.

    Recurrent TNBC

    • Salvage chemotherapy is often considered for recurring TNBC after surgery and chemotherapy.
    • Radiation therapy may be used for localized recurrence, but it is not a primary treatment for recurrent TNBC.

    ER/PR Positive Breast Cancer

    • Hormone therapy (e.g., tamoxifen or aromatase inhibitors) is commonly used for tumors positive for estrogen receptor (ER) and progesterone receptor (PR).

    Post-Mastectomy Nursing Care

    • Increased wound drainage with a foul odor indicates potential infection and requires notifying the healthcare provider immediately.
    • Provide emotional support and recommend counseling or support groups for body image concerns after a mastectomy.
    • Lymphedema is a long-term complication after a mastectomy, potentially causing chronic swelling and discomfort.

    Benign Breast Disorders

    • Fibrocystic changes are characterized by cyclic breast pain and tenderness, often accompanied by benign cysts and fibrous tissue.
    • Intraductal papilloma often presents as a single duct involvement with milky or bloody nipple discharge.
    • Fibroadenomas are common benign breast tumors that often change in size and are hormonally responsive, often presenting as a painless, well-defined mass.

    Breast Cancer Diagnosis

    • DCIS (Ductal Carcinoma in Situ): Abnormal cell growth within the breast ducts but not invading surrounding tissue.
    • Invasive Ductal Carcinoma: Abnormal cell growth within the breast ducts that invades the surrounding tissue.

    Breast Cancer Risk Factors

    • HER2+ breast cancer: associated with a more aggressive course, increased risk of recurrence, and resistance to hormonal therapies.
    • BRCA1 gene mutation: increases the risk of developing TNBC.
    • Strong family history of breast cancer: warrants genetic counseling and BRCA mutation testing for risk assessment and risk-reduction strategies.
    • Genetic testing for BRCA 1 and BRCA 2 mutations: generally recommended for individuals with a strong family history of breast cancer or other associated risk factors. Not recommended for women without a family history of breast cancer.

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    Related Documents

    Breast Cancer Questions PDF

    Description

    This quiz covers essential aspects of post-operative recovery for breast cancer patients, including recommended exercises, dietary guidelines, and potential complications. Learn about specific post-surgery care practices, common side effects of chemotherapy, and strategies to manage lymphedema. It's crucial to understand these elements for a successful recovery.

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