Nusing Implications Flashcards

1
Q

What are the four drugs approved in metastatic disease and in the neoadjuvant setting?

A

Trastuzumab, pertuzumab, carboplatin, and docetaxel

These drugs are noted for their effectiveness in treating advanced breast cancer.

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2
Q

What is Lapatinib (Tykerb) used for?

A

A kinase inhibitor for use in metastatic HER2-positive disease in combination with chemotherapy agents

It is specifically indicated for recurrent or metastatic disease.

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3
Q

What is the recommended dietary instruction for taking Lapatinib?

A

Must be taken at least 1 hour before or 1 hour after a meal

This timing is crucial for the drug’s absorption.

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4
Q

What role do nurses play in patient education regarding breast cancer?

A

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.

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5
Q

What is one intervention to increase patient knowledge regarding breast cancer treatment?

A

Explaining disease process and treatment options in a nonjudgmental way

This should be tailored to the patient’s level of understanding.

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6
Q

Fill in the blank: Nurses should facilitate the patient’s involvement in _______.

A

treatment decision making

Patient autonomy is important in the treatment process.

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7
Q

What should patients be informed about to prevent lymphedema?

A

Risk for lymphedema, how to measure arm circumference, and precautions to prevent trauma and infection

This education is vital for post-surgical care.

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8
Q

What sensations might persist indefinitely after mastectomy?

A

Altered arm and breast sensations such as numbness, tingling, and phantom breast sensation

These changes can affect patient comfort and body image.

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9
Q

What menopausal symptoms may be assessed in patients undergoing treatment?

A

Hot flashes and vaginal dryness

These symptoms can be associated with adjuvant endocrine therapy or chemotherapy-induced ovarian failure.

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10
Q

What should nurses monitor for in patients receiving chemotherapy?

A

Side effects of surgery, radiation, biotherapy, and chemotherapy

This monitoring is essential for managing patient comfort and treatment efficacy.

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11
Q

What is a survivorship visit?

A

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.

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12
Q

Why is breast self-examination (BSE) important?

A

To practice self-care and monitor for changes in breast tissue

Regular BSE can help in early detection of abnormalities.

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