Nusing Implications Flashcards
What are the four drugs approved in metastatic disease and in the neoadjuvant setting?
Trastuzumab, pertuzumab, carboplatin, and docetaxel
These drugs are noted for their effectiveness in treating advanced breast cancer.
What is Lapatinib (Tykerb) used for?
A kinase inhibitor for use in metastatic HER2-positive disease in combination with chemotherapy agents
It is specifically indicated for recurrent or metastatic disease.
What is the recommended dietary instruction for taking Lapatinib?
Must be taken at least 1 hour before or 1 hour after a meal
This timing is crucial for the drug’s absorption.
What role do nurses play in patient education regarding breast cancer?
Educating patients about disease process, treatment options, side effects, self-care, body image, fertility, and pregnancy after treatment
This includes facilitating discussions and providing necessary resources.
What is one intervention to increase patient knowledge regarding breast cancer treatment?
Explaining disease process and treatment options in a nonjudgmental way
This should be tailored to the patient’s level of understanding.
Fill in the blank: Nurses should facilitate the patient’s involvement in _______.
treatment decision making
Patient autonomy is important in the treatment process.
What should patients be informed about to prevent lymphedema?
Risk for lymphedema, how to measure arm circumference, and precautions to prevent trauma and infection
This education is vital for post-surgical care.
What sensations might persist indefinitely after mastectomy?
Altered arm and breast sensations such as numbness, tingling, and phantom breast sensation
These changes can affect patient comfort and body image.
What menopausal symptoms may be assessed in patients undergoing treatment?
Hot flashes and vaginal dryness
These symptoms can be associated with adjuvant endocrine therapy or chemotherapy-induced ovarian failure.
What should nurses monitor for in patients receiving chemotherapy?
Side effects of surgery, radiation, biotherapy, and chemotherapy
This monitoring is essential for managing patient comfort and treatment efficacy.
What is a survivorship visit?
A visit with the provider for transition, discussing long-term follow-up, surveillance, exercise, diet, and symptoms to be aware of
It is an important aspect of ongoing cancer care.
Why is breast self-examination (BSE) important?
To practice self-care and monitor for changes in breast tissue
Regular BSE can help in early detection of abnormalities.