Neoplasms #3 (3)

Question 1

Stress Urinary Incontinence new things

Answer 1

Teach pelvic muscle exercises (kegels)

Advance to >50 reps per day

Question 2

TAH/BSO Teaching Plan

Answer 2

Nursing Dx: Knowledge Deficient: Self-care needs r/t new needs secondary to surgical procedure

**Patient Outcomes: **

1. States S/Sx of infection and venous thrombosis prior to discharge
2. Describes activity restrictions prior to discharge
3. Describes therapeutic effects, possible side-effects, and dosing schedule of discharge medication prior to discharge (pain, prophylactic antibiotics, estrogen)
4. Describes appropraite incision care prior to discharge

Nursing Interventions:

1. Teach S/Sx of venous thrombosis
2. Teach activity restrictions (vaginal rest, avoid vaginal intercourse X 4-6 weeks, no tampons, no douches, and avoid any heavy lifting for 2 months)
3. Teach immediate surgical menopause will result due to loss of both ovaries
4. Teach S/Sx of infection, incision care
5. Medication teaching prn for all discharge medications

Question 3

Abdominal/Perineal Resection

Answer 3

• Abdominal incision and perineal incision made to remove tumor low in the large intestines
• Drains are usually placed at each site
• A colostomy is usually performed

Question 4

Lower Anterior Resection (LAR)

Answer 4

• Used to remove a tumor anywhere in the large intestines, except the terminal rectum
• Abdominal incision is utilized and a JP drain is usually present
• Ostomy is usually not performed in early stages of colon cancer

Question 5

Right Hemi-colectomy

Answer 5

Portions of ascending colon and transverse colon removed. Colon is then connected to end of small intestine

Question 6

Left Hemi-colectomy

Answer 6

Portions of distal half of transverse colon, descending colon, and signmoid colon removed