Adult cancer Flashcards
a) pt who is scheduled to undergo colostomy placement with a perineal wound.
What pre-ope and post-ope teaching about diet?
and how long it will take the colostomy function?
b) colorectal cancer, s/s?
a) pre-ope/need to only liquid for 2 days (dec bulk)
post-ope low-residue diet for several days
within 2-4 days
b) abdominal cramps,blood in stool,anmia
a) pt who has lung cancer and developing superior vena cava syndrome. s/s?
b) numbness in the hands
c) muscle cramps
a) think about what fluid volume build in the upper chest/body would mean!!
Facial edema
SOB
b) spinal cord compression
c) SIADH
a) pt who has leukemia, what to teach?
a) anything protects from bleeding risk
use an electric razor when shaving
no flossing
no blow nose
wear shoes that have a firm sole(to protect accidental puncture)
a) pt who had a panhysterectomy for uterine cancer. what teaching?
b) metastasizing malignant neoplasm is?
c) pt had radiation therapy and reports a metallic taste in the mouth,what to offer?
a) you might experience s/s of menopause
because the removal of the uterus 子宮 and the ovaries
hot flash, night sweats, vaginal dryness
b) cancer that has begun to spread
this is not easy to treat but treatment option is available
c) mints
encourage to have coffee,citrus foods
a) pt who has prostatectomy and discharge with a catheter. what statements by the pt indicate understanding?
a) change the catheter drainage bag once each week
-also take a shower, not a bath
-use a stool softener
-bladder control might not return immediately
do kegel exercises
a) pt who is postoperative following a modified radical mastectomy. what invasive devices should have?
b) adolescent female who received a bone marrow transplant for leukemia. what discharge teaching?
a) Jaclsom-pratt drain
removes the entire breast/they can discharge at the same day
b) take temp twice a day
wear shoes always
rinsing the toothbrush w/ wake bleach and placing in dishwasher weekly
avoid using tampons
avoid crowds like school
a) pt who is receiving chemotherapy and has a protein deficiency. what action?
b) nuliparous is a risk of breast cancer but what is it?
a) mix powdered skim milk into liquid mile
add a slice of cheese to hot vege
mix yogurt into fresh fruit
avoid intake raw egg
b) a woman who hasn’t given birth to a child
a) pt who who is post urinary diversion to treat bladder cancer. what action?
b) where are the common sites to breast cancer metastasize?
a) change the urinary collection pouch in the early morning
(when urine output is reduced)
the nurse should expect no delay in urinary output following surgery
surgical procedure that creates a new way for urine to exit
b) bones,lungs,brain and liver
a) what cancers are familial tendencies?
b) brachytherapy is?
c) chemo ADR?
a) breast, colorectal, ovarian, and prostate
B) radioactive infusion or insertions into or near the tumor
it might 2-3ntimes a week
lie still in bed during thearapy
c) pancytopenia (deficiency of WBC, RBC, an platelet count)
alopecia
a) breast, colorectal, ovarian, and prostate
B) radioactive infusion or insertions into or near the tumor
it might 2-3ntimes a week
lie still in bed during thearapy
c) pancytopenia (deficiency of WBC, RBC, an platelet count)
alopecia
a) high risk of bladder cancer?
b) JP drainage bag with breast cancer pt.
how long it will remove?
how often empty the bag?
shower or bath?
a) tobacco use
b) 7-10days as the same time with stitches remove
twice a day
bath
normal excise is OK
