The nurse is caring for a client who has been diagnosed with a breast lump. The physician states that studies indicate a cancerous tumor in situ. The client is anxious and wants to know what may come next
The nurse is most correct to support physician instruction of which of the following? A) "Since your tumor appears localized, removal of the tumor is indicated."
B) "A mastectomy is recommended for all clients in this situation."
C) "The next step is just as the physician described. We can have the physician talk to you again."
D) "Chemotherapy and radiation are typical treatments prescribed by the oncologist."
A
Feedback:
The nurse is correct to restate the information that the physician has just discussed. Many times, anxious clients have a difficult time understanding information. The nurse realizes that a tumor that is in situ has developed in a localized area without invading the surrounding tissue. This criterion would allow the removal of tissue from only that area, not an entire mastectomy. When the client asks for the next step, chemotherapy and radiation, as indicated, would be initiated after removal of the tumor.
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