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Survivorship care focuses on surveillance for recurrence based on evidence-based intervals, monitoring and managing late/long-term effects, and promoting health maintenance. After anthracycline exposure, patients with additional cardiac risk factors (e.g., hypertension, obesity) merit consideration of baseline and periodic echocardiography to detect asymptomatic LV dysfunction. Lifestyle counseling—weight management, aerobic/strength exercise, BP and lipid control, diabetes screening, and smoking cessation—is central to reducing competing cardiovascular mortality. Routine PET/CT (Option A) is not recommended for asymptomatic survivors of early-stage breast cancer. Tumor markers (Option C) lack specificity/sensitivity and do not improve survival when used for routine surveillance. The APRN should also ensure age-appropriate screenings (mammography for remaining breast tissue), manage endocrine therapy adverse effects if applicable, update vaccinations, and address psychosocial needs, sexual health, and bone health (DEXA as indicated). A shared survivorship care plan detailing treatment exposures, potential late effects, and follow-up responsibilities supports coordinated care with primary providers.