The nurse is teaching a class to women who were recently diagnosed with benign breast disease (BBD), commonly known as fibrocystic breast disease
One of the participants reports increased swelling, pain, and pressure in her breasts just before menstruation. What is the best response by the nurse?
1. "Consider asking your nurse practitioner about adding a mild diuretic to your regimen."
2. "The pain may be caused by thinning of the normal breast tissue."
3. "Breast swelling and pressure are expected symptoms, but pain is abnormal and should be evaluated by your physician."
4. "It's best to make an appointment with an oncologist."
Correct Answer: 1
Rationale 1: Treatment of BBD may include taking a mild diuretic during the week prior to the onset of menses to counteract fluid retention, relieve pressure in the breast, and help decrease pain.
Rationale 2: The pathology of BBD involves fibrosis, which is a thickening of the normal breast tissue.
Rationale 3: Common symptoms associated with BBD include cyclical breast pain, tenderness, and swelling.
Rationale 4: Cyclical breast pain, swelling, and tenderness are common symptoms associated with BBD. Generally fibrocystic changes are not a risk factor for breast cancer.
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