Which of the following terms is used to describe removal of the
breast tissue and an axillary lymph node dissection leaving muscular
structure intact as surgical treatment of breast cancer?
a) Modified radical mastectomy
A modified radical mastectomy leaves the pectoralis major and minor
muscles intact.
b) Segmental mastectomy
In a segmental mastectomy, varying amounts of breast tissue are
removed, including the malignant tissue and some surrounding tissue
to ensure clear margins.
c) Total mastectomy
In a total mastectomy, breast tissue only is removed.
d) Radical mastectomy
Radical mastectomy includes removal of the pectoralis major and
minor muscles in addition to breast tissue and axillary lymph node
dissection.

1 Answer

Answer :

a) Modified radical mastectomy
A modified radical mastectomy leaves the pectoralis major and minor
muscles intact.

Related questions

Description : Rank the clinical scenarios in order of greatest likelihood of serious postoperative pulmonary complications. A. Transabdominal hysterectomy in an obese woman that requires 3 hours of anesthesia time. B. Right ... smoker. E. Modified radical mastectomy in a 58-year-old woman who is obese.

Last Answer : Answer: BDCAE DISCUSSION: If one considers the constellation of risk factors for pulmonary complications that is provided in tabular form in the accompanying chapter, one should ... is associated with relatively little postoperative pain, and provides free and unrestricted respiratory function

Description : The following does not apply to cancer chemotherapy: A. Each treatment with a cytotoxic drug kills a constant number of malignant cells B. Drugs are generally used at maximum tolerated ... D. Combination regimens using several drugs in succession are superior to single drug used continuously

Last Answer : A. Each treatment with a cytotoxic drug kills a constant number of malignant cells

Description : Regarding the surgical patient, which of the following terms refers to the period of time that constitutes the surgical experience? a) Perioperative phase Perioperative period includes the preoperative, ... care unit and ends after a follow-up evaluation in the clinical setting or home.

Last Answer : a) Perioperative phase Perioperative period includes the preoperative, intraoperative, and postoperative phases.

Description : A malignant tumor a) gains access to the blood and lymphatic channels. By this mechanism, the tumor metastasizes to other areas of the body. b) demonstrates cells that are well- ... malignant tumor grows at the periphery and sends out processes that infiltrate and destroy surrounding tissues.

Last Answer : a) gains access to the blood and lymphatic channels. By this mechanism, the tumor metastasizes to other areas of the body.

Description : Which of the following terms refers to surgical removal of one of the testes? a) Orchiectomy Orchiectomy is required when the testicle has been damaged. b) Circumcision Circumcision is excision ... describes the surgical repair of a hydrocele, a collection of fluid in the tunica vaginalis.

Last Answer : a) Orchiectomy Orchiectomy is required when the testicle has been damaged.

Description : Which of the following terms is used to describe a procedure in which cervical tissue is removed as result of detection of abnormal cells? a) Conization The procedure is also called ... of tissue by freezing. c) Perineorrhaphy Perineorrhaphy refers to sutural repair of perineal lacerations.

Last Answer : a) Conization The procedure is also called a cone biopsy. Colporrhaphy Colporrhaphy refers to repair of the vagina.

Description : Which of the following terms is used to refer to protrusion of abdominal organs through the surgical incision? a) Evisceration Evisceration is a surgical emergency. b) Hernia A hernia is a weakness ... partial or complete separation of wound edges. d) Erythema Erythema refers to redness of tissue.

Last Answer : a) Evisceration Evisceration is a surgical emergency.

Description : The muscle which RAISES a bird's wing is known as the: a) Pectoralis major b) pectoralis minor c) soleus d) gluteus maximus

Last Answer : ANSWER: B -- pectoralis minor

Description : During which stage of the immune response does the circulating lymphocyte containing the antigenic message return to the nearest lymph node? a) Proliferation Once in the node, the sensitized lymphocyte ... cellular response reaches and couples with the antigen on the surface of the foreign invader.

Last Answer : a) Proliferation Once in the node, the sensitized lymphocyte stimulates some of the resident dormant T and B lymphocytes to enlarge, divide, and proliferate.

Description : Prophylaxis antibiotic for anthrax is given to people with symptoms who have been in a defined hot zone for a period of a) 60 days. Those with symptoms who have been in the hot zone should ... . Those with symptoms who have been in the hot zone should be given 60 days of prophylactic antibiotic

Last Answer : a) 60 days. Those with symptoms who have been in the hot zone should be given 60 days of prophylactic antibiotic. The aim of prophylaxis is to assure that if spores were ... of mediastinal lymph node involvement should be treated with intravenous antibiotics and respiratory support, if needed.

Description : During which stage of pressure ulcer development does the ulcer extend into the underlying structures, including the muscle and possibly the bone? a) Stage IV A stage IV pressure ulcer ... area of nonblanchable erythema, tissue swelling, and congestion, and the patient complains of discomfort.

Last Answer : a) Stage IV A stage IV pressure ulcer extends into the underlying structure, including the muscle and possibly the bone.

Description : During which stage of pressure ulcer development does the ulcer extend into the subcutaneous tissue? a) Stage III Clinically, a deep crater with or without undermining of adjacent tissues is ... area of nonblanchable erythema, tissue swelling, and congestion, and the patient complains of discomfort.

Last Answer : a) Stage III Clinically, a deep crater with or without undermining of adjacent tissues is noted.

Description : Which of the following types of aneurysms results in bleeding into the layers of the arterial wall? a) Dissecting Dissection results from a rupture in the intimal layer, resulting in bleeding ... Anastomotic An anastomotic aneurysm occurs as a result of infection at arterial suture or graft sites.

Last Answer : a) Dissecting Dissection results from a rupture in the intimal layer, resulting in bleeding between the intimal and medial layers of the arterial wall.

Description : Which of the following terms related to aphasia refers to the inability to perform previously learned purposeful motor acts on a voluntary basis? a) Apraxia Verbal apraxia refers to difficulty in ... continued and automatic repetition of an activity or word or phrase that is no longer appropriate.

Last Answer : a) Apraxia Verbal apraxia refers to difficulty in forming and organizing intelligible words although the musculature is intact.

Description : An increase in the number of new cells in an organ or tissue that is reversible when the stimulus for production of new cells is removed is termed a) Hyperplasia. Hyperplasia occurs as cells multiply ... in the number of new cells in an organ or tissue continues after the stimulus is removed.

Last Answer : a) Hyperplasia. Hyperplasia occurs as cells multiply and are subjected to increased stimulation resulting in tissue mass enlargement.

Description : I had my right breast and the sentinel node removed after a byopsy removed a mammory glad with cancer. The pathology report of the breast and node showed no cancer cells. I have some family cancer hist and my dr wants me to take chemo and I dont want to?

Last Answer : You go to an expert, assuming.... I go to SCCA in seattle. If they recommend something, I think you should do it. I have been a nurse for over 35 years... and have known people who did ... advice.. and go for several opinions. I am in chemo now and feel reassured my treatment will extend my life.

Description : The term or disease associated with buildup of fibrous plaques in the sheath of the corpus cavernosum causing curvature of the penis when it is erect is known as a) Peyronie's disease. ... refers to an uncontrolled, persistent erection of the penis occurring from either neural or vascular causes.

Last Answer : a) Peyronie’s disease. Peyronie’s disease may require surgical removal of the plaques when the disease makes sexual intercourse painful, difficult, or impossible.

Description : Which of the following terms is used to describe a tachycardia characterized by abrupt onset, abrupt cessation, and a QRS of normal duration? a) Paroxysmal atrial tachycardia PAT ... fibrillation Atrial fibrillation causes a rapid, disorganized, and uncoordinated twitching of atrial musculature.

Last Answer : a) Paroxysmal atrial tachycardia PAT is often caused by a conduction problem in the AV node and is now called AV nodal reentry tachycardia.

Description : During which step of cellular carcinogenesis do cellular changes exhibit increased malignant behavior? a) Progression During this third step, cells show a propensity to invade adjacent tissues and ... of cellular DNA. d) Prolongation No stage of cellular carcinogenesis is termed prolongation.

Last Answer : a) Progression During this third step, cells show a propensity to invade adjacent tissues and metastasize.

Description : Which of the following terms refers to enlarged, red, and tender lymph nodes? a) Lymphadenitis Acute lymphadenitis is demonstrated by enlarged, red and tender lymph nodes. b) Lymphangitis ... refers to a condition in which chronic swelling of the extremity recedes only slightly with elevation.

Last Answer : a) Lymphadenitis Acute lymphadenitis is demonstrated by enlarged, red and tender lymph nodes.

Description : A modified amino acid solution with increased equimolar branched-chain amino acids and decreased aromatic amino acids has been proposed for patients with hepatic insufficiency. Which of the following ... D. In some studies of surgical patients, improvements in mortality have been reported.

Last Answer : Answer: D DISCUSSION: The use of modified amino acid solutions is based on the false neurotransmitter hypothesis of the cause of hepatic coma. According to this hypothesis, the imbalance ... in a group of patients with cirrhosis, decreasing morbidity and showing a trend toward decreased mortality

Description : Which of the following actions is most appropriate for the nurse to take when the patient demonstrates subcutaneous emphysema along the suture line or chest dressing 2 hours after chest ... finding to the physician immediately. Subcutaneous emphysema results from air entering the tissue planes.

Last Answer : a) Record the observation. Subcutaneous emphysema occurs after chest surgery as the air that is located within the pleural cavity is expelled through the tissue opening created by the surgical procedure.

Description : Which of the following terms refers to muscular hypertonicity with increased resistance to stretch? a) Spasticity Spasticity is often associated with weakness, increased deep tendon reflexes, and diminished ... d) Myclonus Myoclonus refers to spasm of a single muscle or group of muscles.

Last Answer : a) Spasticity Spasticity is often associated with weakness, increased deep tendon reflexes, and diminished superficial reflexes.

Description : Which of the following terms refers to a muscular, cramp-like pain in the extremities consistently reproduced with the same degree of exercise and relieved by rest? a) Intermittent claudication Intermittent ... or dilated vessel. d) Ischemia Ischemia is a term used to denote deficient blood supply.

Last Answer : a) Intermittent claudication Intermittent claudication is a sign of peripheral arterial insufficiency.

Description : Which of the following terms refers to surgical repair of the tympanic membrane? a) Tympanoplasty Tympanoplasty may be necessary to repair a scarred eardrum. b) Tympanotomy A tympanotomy is ... Ossiculoplasty An ossiculoplasty is a surgical reconstruction of the middle ear bones to restore hearing.

Last Answer : a) Tympanoplasty Tympanoplasty may be necessary to repair a scarred eardrum.

Description : Which of the following statements reflect nursing interventions of a patient with post-polio syndrome? a) Providing care aimed at slowing the loss of strength and maintaining the physical, ... and cold are most appropriate because these patients tend to have strong reactions to medications.

Last Answer : a) Providing care aimed at slowing the loss of strength and maintaining the physical, psychological and social well being of the patient. No specific medical or surgical treatment is available for ... loss of strength and maintaining the physical, psychological and social well being of the patient.

Description : Ductal lavage is used for a) women at higher risk for benign proliferative breast disease. Performed in the doctor's office, a microcatheter is inserted through the nipple while instilling saline ... risk for benign proliferative breast disease; it is not specific for women with breast implants.

Last Answer : a) women at higher risk for benign proliferative breast disease. Performed in the doctor's office, a microcatheter is inserted through the nipple while instilling saline and retrieving the fluid ... population and has been found to be adept at detecting cellular changes within the breast tissue.

Description : Stage 3 of breast development, according to Tanner, occurs when a) the areola (a darker tissue ring around the nipple) develops. Stage 3 also involves further enlargement of breast tissue. b) ... In stage 5, the female demonstrates continued development of a larger breast with a single contour.

Last Answer : a) the areola (a darker tissue ring around the nipple) develops. Stage 3 also involves further enlargement of breast tissue.

Description : The 2000 NIH Consensus Development Conference Statement states that what percentage of women with invasive breast cancer should consider the option of systemic chemotherapy, not just women whose tumors are ... of systemic chemotherapy, not just women whose tumors are greater than 1 cm in size.

Last Answer : a) 100% (all) The 2000 Consensus Development Conference Statement states that all women with invasive breast cancer should consider the option of systemic chemotherapy, not just women whose tumors are greater than 1 cm in size.

Description : The nurse recognizes which of the following statements as accurately reflecting a risk factor for breast cancer? a) Mother affected by cancer before 60 years of age Risk for breast cancer increases ... in women who consume even one drink daily and doubles among women drinking three drinks daily.

Last Answer : a) Mother affected by cancer before 60 years of age Risk for breast cancer increases twofold if first-degree female relatives (sister, mother, or daughter) had breast cancer.

Description : A specific BRCA1 cancer-predisposing gene mutation seems to occur more frequently among women of which descent? a) Ashkanazi Jewish Expression of the BRCA1 gene is an example of ... of treatment for tuberculosis) are at significantly increased risk for developing isoniazid-induced hepatitis.

Last Answer : a) Ashkanazi Jewish Expression of the BRCA1 gene is an example of inheritance in the development of breast cancer.

Description : A number of prospective clinical trials have addressed the role of total parenteral nutrition in the cancer patient. The results have been somewhat conflicting. Which of the following statement(s) ... hepatectomy for hepatoma d. TPN is of no benefit in patients undergoing bone marrow transplant

Last Answer : Answer: a, c Numerous clinical trials have failed to yield a consensus with regard to the efficacy of TPN in cancer patients. In 1991, a multicenter VA cooperative trial demonstrated ... patients receiving bone marrow transplantation has also been shown to be a valuable component of overall care

Description : Which of the following terms is used to describe the fibrous connective tissue that covers the brain and spinal cord? a) Meninges The meninges have three layers, the dura mater, arachnoid mater, and ... The pia mater is the innermost membrane of the protective covering of the brain and spinal cord.

Last Answer : a) Meninges The meninges have three layers, the dura mater, arachnoid mater, and pia mater.

Description : Which of the following terms is used to describe a chronic liver disease in which scar tissue surrounds the portal areas? a) Alcoholic cirrhosis This type of cirrhosis is due to chronic alcoholism and ... to the state of liver disease in which the liver continues to be able to function effectively.

Last Answer : a) Alcoholic cirrhosis This type of cirrhosis is due to chronic alcoholism and is the most common type of cirrhosis.

Description : Fracture healing occurs in four areas, including the a) external soft tissue. Fracture healing occurs in four areas, including the bone marrow, bone cortex, periosteum, and the external soft ... and the external soft tissue. Fascia is fibrous tissue that covers, supports, and separates muscles.

Last Answer : a) external soft tissue. Fracture healing occurs in four areas, including the bone marrow, bone cortex, periosteum, and the external soft tissue, where a bridging callus (fibrous tissue) stabilizes the fracture.

Description : Why do women who undergo a double mastectomy opt for fake breast?

Last Answer : Aesthetically pleasing/personal preference.

Description : Lymph Node Removal

Last Answer : Importance of Lymph Node Removal Lymph node removal, as its name suggests, refers to a medical process where a particular lymph node in the body is removed. When a lymph node has to be ... nodes become cancerous, they are already considered positive lymph nodes with which these have to be removed.

Description : During a disaster, the nurse sees a victim with a green triage tag. The nurse knows that the person has a) injuries that are minor and treatment can be delayed hours to days. A ... or expectant) indicates injuries that are extensive and chances of survival are unlikely even with definitive care.

Last Answer : a) injuries that are minor and treatment can be delayed hours to days. A green triage tag (priority 3 or minimal) indicates injuries that are minor and treatment can be delayed hours to days.

Description : An osmotic diuretic, such as Mannitol, is given to the patient with increased intracranial pressure (IICP) in order to a) dehydrate the brain and reduce cerebral edema. Osmotic diuretics ... Medications such as barbiturates are given to the patient with IICP to reduce cellular metabolic demands.

Last Answer : a) dehydrate the brain and reduce cerebral edema. Osmotic diuretics draw water across intact membranes, thereby reducing the volume of brain and extracellular fluid.

Description : Which of the following types of incontinence refers to involuntary loss of urine through an intact urethra as a result of a sudden increase in intra-abdominal pressure? a) Stress Stress ... the involuntary loss of urine due to involuntary urethral relaxation in the absence of normal sensations.

Last Answer : a) Stress Stress incontinence may occur with sneezing and coughing.

Description : Through which of the following activities does the patient learn to consciously contract excretory sphincters and control voiding cues? a) Biofeedback Cognitively intact patients who have stress or urge ... functional incontinence. d) Bladder training Habit training is a type of bladder training.

Last Answer : a) Biofeedback Cognitively intact patients who have stress or urge incontinence may gain bladder control through biofeedback.

Description : During which stage or phase of bone healing after fracture is devitalized tissue removed and new bone reorganized into its former structural arrangement? a) Remodeling Remodeling is the final stage of ... occurs during the reparative stage but is disrupted by excessive motion at the fracture site.

Last Answer : a) Remodeling Remodeling is the final stage of fracture repair.

Description : Which is NOT a correct consequence of surgical removal of portions of these glands? A) adrenal cortex--bronzing of skin, no glucose at stress, dehydration and death B) thymus--decrease ... change in secondary sex characteristics E) adult thyroid--low pulse rate and body temperature and lethargy

Last Answer : B) thymus--decrease in sex drive and changes in secondary sexual characteristics

Description : Development of malignant melanoma is associated with which of the following risk factors? a) Individuals with a history of severe sunburn Ultraviolet rays are strongly suspected as the etiology ... the southwestern United States appear to have a higher incidence of development of malignant melanoma.

Last Answer : a) Individuals with a history of severe sunburn Ultraviolet rays are strongly suspected as the etiology of malignant melanoma.

Description : When the results of a Pap smear are reported as class 5, the nurse recognizes that the common interpretation is a) malignant. A class 5 Pap smear, according to the Bethesda Classification, ... is interpreted as probably normal. d) suspicious. A class 3 Pap smear is interpreted as suspicious.

Last Answer : a) malignant. A class 5 Pap smear, according to the Bethesda Classification, indicates squamous cell carcinoma.

Description : Which of the following manifestations is often the earliest sign of malignant hyperthermia? a) Tachycardia (heart rate above 150 beats per minute) Tachycardia is often the earliest sign of malignant ... develops rapidly. d) Oliguria Scant urinary output is a later sign of malignant hyperthermia.

Last Answer : a) Tachycardia (heart rate above 150 beats per minute) Tachycardia is often the earliest sign of malignant hyperthermia.