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Chapter 33 - Nursing Management: Patients With Breast and Fe
Test 2
26
Nursing
Undergraduate 4
02/10/2015

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Cards

Term
When does annual screening for breast cancer begin?
Definition
Annual screening mammography should begin at age 40
Term
What are the imaging techniques used for breast cancer detection?
Definition
Includes of the radiographic imaging modalities used to detect and diagnose breast abnormalities and diseases
Mammography is the most common
Term
What else is used for diagnostics of breast cancer?
Definition
ultrasound, MRI, fine-needle aspiration, and biopsies
Term
What does imaging of the breast allow?
Definition
allows for the staging of the cancer and the determination of prognosis
Term
What are the surgical options for breast cancer?
Definition
Lumpectomy
Simple mastectomy
Modified radical mastectomy
Radical mastectomy
Sentinel lymph node biopsy
Term
What are the nursing care interventions post surgery?
Definition
monitoring for complications (lymphedema, hematoma, seroma, infection)
Term
What are the reconstructive surgeries used for breast cancer?
Definition
reduction mammoplasty, augmentation mammoplasty, and mastopexy
Term
What is transverse rectus abdominis myocutaneous (TRAM) flap?
Definition
An increasingly common tissue transfer procedure
Term
When can radiation be used for breast cancer?
Definition
Before or after surgery
Term
What does nursing care involve with radiation?
Definition
emphasizes skin care and management of fatigue
Term
What does nursing care involve with chemotherapy?
Definition
nausea, vomiting, bone marrow suppression, taste changes, alopecia (hair loss), mucositis (ulcerations of the mucous membranes), skin changes, and fatigue
Term
What do the goals and patient teaching address with breast cancer?
Definition
knowledge of the disease; reduction of fear, anxiety, and emotional stress; improvement of decision-making; pain management; improvement in coping abilities; improvement in sexual function; and the absence of complications
Term
What is implicated in the etiology of cervical cancer?
Definition
Human Papilloma virus (HPV)
Term
What is the most effective preventative measure for invasive cervical cancer?
Definition
Pap smears
Term
What roles do nurses play in cervical cancer?
Definition
educating about the disease and in promoting screening
Term
What is the standard treatment for Cancer of the endometrium or uterus?
Definition
total abdominal hysterectomy with bilateral salpingo-oophorectomy (removal of fallopian tubes and ovaries)
Term
When is ovarian cancer usually detected?
Definition
late in the course of the disease
Term
How is ovarian cancer treated?
Definition
Treated with surgery and chemotherapy
Term
When does mammography begin?
Definition
Annual screening mammography should begin at age 40

Earlier if you have family history
Term
What are the pharmacological preventative strategies?
Definition
Tomoxophen
Term
Radical vs simple mastectomy?
Definition
Radical - take out lymph nodes as well as tissue
Term
Mastectomy care?
Definition
-BP/Sticks not on affected side
-Reach for recovery
-Elevate affected side
-Extension/flexion
-Abduction and external rotation should not be done initially
-SBE - once a month after one week period
-TO promote positive self image
Term
A patient is undergoing a lumpectomy for the treatment of breast cancer. What will be removed in order to treat the woman’s disease?
The axillary lymph nodes in the affected breast
The pectoral muscle underlying the affected breast
The cancerous tissue and the surrounding healthy tissue
The patient’s entire breast and nipple-areola complex
Definition
C. The cancerous tissue and the surrounding healthy tissue
Rationale: In a lumpectomy, the surgeon removes the cancerous tissue and a border of normal tissue. The patient’s pectoral muscle, lymph nodes, and nipple-areola complex are preserved.
Term
What complications are there with a mastectomy?
Definition
(lymphedema, hematoma, seroma, infection)
Term
Is the following statement true or false?
A patient with a diagnosis of breast cancer has been experiencing nausea during chemotherapy. The nurse should encourage the patient to avoid taking antiemetics until her nausea becomes severe.
Definition
False
Rationale: Antiemetics should be administered strategically and proactively, with the goal of preventing nausea. It is inappropriate to withhold antiemetics until the patient’s nausea becomes unbearable.
Term
What prevents cervical cancer?
Definition
Gaurdasil

Supposed to get it before sexually active, boys and girls

Pap Smear once your sexually active or 21 years
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