Oncologic Disorders Didactic Explained for Students (Easy Guide)
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This question relates to oncologic disorders didactic and requires a structured academic response.
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Key Explanation
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Original Question
Oncologic Disorders Didactic Case Study 2 Scenario: A 48-year-old woman had a lumpectomy after being diagnosed with carcinoma in the left breast. She had her first chemotherapy treatment with cyclophosphamide 2 months ago. Today she is in the outpatient cancer treatment center for her sixth round of chemotherapy; radiation therapy is planned after the tenth chemotherapy treatment is completed. The nurse documents these findings as part of today’s admission assessment: Reports “feeling tired often.” “I have had diarrhea five or six times a day.” “I don’t have much of an appetite.” “I have noticed some blood in my urine, starting yesterday.” “My food doesn’t have any taste to it at all.” The patient has alopecia. Oral mucosa is inflamed with some ulcerations noted in the cheek areas. Vital signs: Temperature 100.5°F (38.1°C), Pulse 88, Respirations 12, blood pressure 118/72 Highlight or place a check mark next to the assessment findings that require follow-up by the nurse. Give your rationale on your choices (both required follow up and not required for follow up. Finding Place an X if it requires follow up. Rationale Reports “feeling tired often.” “I have had diarrhea five or six times a day.” “I don’t have much of an appetite.” “I have noticed some blood in my urine, starting yesterday.” “My food doesn’t have any taste to it at all.” The patient has alopecia. Oral mucosa is inflamed with some ulcerations noted in the cheek areas. Vital signs: Temp. 100.5°F (38.1°C), P 88, R 12, BP 118/72 Choose the most likely options for the information missing from the statement, below, by selecting from the list of options provided. Provide your rationale for your choice of answers (both chosen and not chosen). The nurse recognizes that, based on the assessment data and patient’s history, the patient is currently at risk for complications, including __________, _________, and __________. Options Place an “X” by those options for which the patient is currently at risk. Rationale Infection Dehydration Instestinal obstruction Hemorrhagic cystitis Pneumonitis Use an X to indicate which actions listed in the left column would be included in the plan of care for this patient. Provide a rationale for your choices (both need to implement and not needed to implement). Nursing Actions Implementation (Place an “X” next to the item that should be included in the plan of care. Rationale Instruct the patient to drink small amounts of water frequently. Suggest a referral for nutritional counseling. Instruct the patient to use a firm toothbrush to ensure complete cleaning of the oral cavity. Administer antiemetics when beginning chemotherapy. Administer acetaminophen before treatment with interferons, and every 4 hours after treatment. Monitor for ECG changes and signs of heart failure. Scenario: At 10 weeks, the oncologist changed the treatment plan to include radiation therapy and continued interferon therapy. The patient will now receive external beam radiation therapy 5 days a week for 6 weeks. After the first two radiation treatments, the patient noticed that the skin around the treatment area was reddened and swollen. Use an X for nursing actions listed below that are Indicated (necessary), Contraindicated (could be harmful), or Nonessential (not necessary). Only one selection can be made for each nursing action. Nursing Action Indicated Contra- indicated Nonessential Rationale Apply ice packs to the affected area immediately after the radiation session. Instruct the patient to wear a brassiere to support the tissue in the area. Apply a normal saline compress to the area after the radiation session. Instruct the patient to avoid exposing the treatment area to direct sunlight. Use a medicated soap to cleanse the skin of the treatment area. Instruct the patient to wear lightweight clothing, such as cotton fabric. The nurse evaluates the effectiveness of actions. Which of the following statements by the patient indicate effectiveness of patient teaching? Select all that apply. Provide a rationale for your choices (both effective and not effective). Statement Place an “X” if the statement indicates effectiveness of teaching. Rationale “I will wash the affected area with a mild soap, tepid water, and a soft cloth, then pat to dry.” “I am going on a beach vacation next week and will work on my suntan.” “There is no redness under my breast folds, but the skin around the treatment area is slightly reddened.” “I plan to attend livestream church services instead of attending in person.” “My gums are not bleeding when I brush my teeth, and I don’t see any sores in my mouth.” “I will plan to get most of my housework done in the morning when I have more energy.” “I will call my doctor if I have a temperature above 99°F (37.2°C).” “I will eat soft, nonirritating high-protein and high-calorie foods throughout the day.” “I will wash my hands frequently and ask those around me to wash their hands.”
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