nclex-rn & pn test prep course cancer
TRANSCRIPT
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NCLEX® - RN & PN TEST PREP COURSE Conductedby:
GeorgeMataMontausRN,MSN/EdandWalterUrdasDonatoBSN,[email protected]#714-679-9320Fax#909-247-2721
NCLEX-RN & PN TEST PREP COURSE
Conductedby:GeorgeMataMontausRN,MSN/EdandWalterUrdasDonatoBSN,RN
[email protected]#714-679-9320Fax#909-247-2721
Cancer Ø Abnormal,unrelatedcellproliferaAon
Ø Neoplasm'sortumorsØ ClassificaAonoftumors
Ø Tissuetype:Carcinomas;lymphomas;
leukemia's;sarcomasØ Celloforiginandgrowth:BenignorMalignant
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NCLEX-RN & PN TEST PREP COURSE
Conductedby:GeorgeMataMontausRN,MSN/EdandWalterUrdasDonatoBSN,RN
[email protected]#714-679-9320Fax#909-247-2721
PREDISPOSING FACTORS
• Age• Sex• OccupaAon• GeographicDistribuAon
• Heredity• Stress• PrecancerousLesions
• Obesity
NCLEX-RN & PN TEST PREP COURSE
Conductedby:GeorgeMataMontausRN,MSN/EdandWalterUrdasDonatoBSN,RN
[email protected]#714-679-9320Fax#909-247-2721
Characteristics Benign Malignant
Speed of Growth Usually slow, steady rate of growth
Grows rapidly, unpredictable
Mode of Growth Remains localized invades surrounding tissues
Capsule Encapsulated rarely encapsulated Cell Characteristic When palpated, are
smooth, easily defined, & movable
Have irregular borders; immobile
Recurrence Recurrence is rare when removed
When removed, recurrence is more common
Metastasis Never occur Very common Effect of Neoplasm Rarely fatal Fatal if not treated
Prognosis Very good Poor prognosis
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NCLEX-RN & PN TEST PREP COURSE
Conductedby:GeorgeMataMontausRN,MSN/EdandWalterUrdasDonatoBSN,RN
[email protected]#714-679-9320Fax#909-247-2721
Stages of Cancer
NCLEX-RN & PN TEST PREP COURSE
Conductedby:GeorgeMataMontausRN,MSN/EdandWalterUrdasDonatoBSN,RN
[email protected]#714-679-9320Fax#909-247-2721
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NCLEX-RN & PN TEST PREP COURSE
Conductedby:GeorgeMataMontausRN,MSN/EdandWalterUrdasDonatoBSN,RN
[email protected]#714-679-9320Fax#909-247-2721
WARNING SIGNALS OF CANCER� C–changeinbowelorbladderhabits� A–sorethatdoesnotheal� U–unusualbleedingordischargeU–unexplainedsuddenweightlossU–unexplainedanemia� T–thickeningorlumpinthebreastor elsewhere� I–indigesAonordifficultyinswallowing� O–obviouschangeinwartormole� N–naggingcoughorhoarseness
NCLEX-RN & PN TEST PREP COURSE
Conductedby:GeorgeMataMontausRN,MSN/EdandWalterUrdasDonatoBSN,RN
[email protected]#714-679-9320Fax#909-247-2721
Diagnostic Findings Ø X-rayStudiesØ CytologicorPapanicolaoutest(PapSmear)Ø NuclearMagneAcResourceImaging(MRI)Ø UltrasoundØ BiopsyØ EndoscopyØ LaboratoryTests:(TumorMarkers)
– Alpha–feto–protein(Liver,Testes)– HCG(humanchorionicgonadotrophins)– ProstaAcAcidPhosphatase(PAP)– ProstaAcSpecificAnAgen(PSA)– CA-125–(GI,Ovaries)– CEA(CarcinoembryonicanAgen)–Breast,
Colon,Lung
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NCLEX-RN & PN TEST PREP COURSE
Conductedby:GeorgeMataMontausRN,MSN/EdandWalterUrdasDonatoBSN,RN
[email protected]#714-679-9320Fax#909-247-2721
Ø ColonØ UterusØ Basic
CANCER PREVENTION
Ø Skin Ø Oral Ø Breast Ø Lungs
NCLEX-RN & PN TEST PREP COURSE
Conductedby:GeorgeMataMontausRN,MSN/EdandWalterUrdasDonatoBSN,RN
[email protected]#714-679-9320Fax#909-247-2721
Dietary Guidelines Against Cancer • Avoidobesity.• Cutdownontotalfatintake.• Eatmorehighfiberfoods.• IncludefoodsrichinVitaminA,C,EandmineralSeleniumindailydiet.
• Includecruciferousvegetablesinthediet.
• BemoderateintheconsumpAonofalcoholicbeverages.
• BemoderateintheconsumpAonofsalt–cured,smokedandnitrite–curedfoods.
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NCLEX-RN & PN TEST PREP COURSE
Conductedby:GeorgeMataMontausRN,MSN/EdandWalterUrdasDonatoBSN,RN
[email protected]#714-679-9320Fax#909-247-2721
Cancer Management Ø SurgeryØ Radia2onTherapy:
ü External(BeamRadiotherapyorTeletheraphy)ü Internal:1.sealed
2.unsealedØ ChemotherapyØ ImmunotherapyØ BoneMarrowTransplanta2on
NCLEX-RN & PN TEST PREP COURSE
Conductedby:GeorgeMataMontausRN,MSN/EdandWalterUrdasDonatoBSN,RN
[email protected]#714-679-9320Fax#909-247-2721
Patient and Family Teaching Regarding EXTERNAL RADIATION THERAPY
1. Thisispainless.2. AssessforskindesquamaAon.Noointments,creams,
soaps,powders,cosmeAcs,perfumesanddeodorantsinthetreatedareaduringtreatmentperiods
3. Avoidextremesheatorcold:heaAngpads,UVlight,sauna,steambaths,ordirectsunlight.
4. Donotwashoffskinmarkings.5. LieverysAllonaspecialtable,youmaybeplacedina
specialposiAontomaximizetumorirradiaAon.Eachtreatmentusuallylastsforfewminutes.
6. ThereisnoresidualradioacAvityaferradiaAontherapy.
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NCLEX-RN & PN TEST PREP COURSE
Conductedby:GeorgeMataMontausRN,MSN/EdandWalterUrdasDonatoBSN,RN
[email protected]#714-679-9320Fax#909-247-2721
Ø FoleyCatheterwillbeinsertedØ CleansingEnemaØ CompleteBedRest(FlatinBed)Ø PersonalProtec2veEquipments
Ø DosimeterBadgeØ LeadApronØ LeadContainerØ LongForceps
Ø Maintain6Q.Distancefromthepa2entØ Stayfor5minutesforatotalof30minutespershiQ
Client and Family Teaching Regarding INTERNAL RADIATION THERAPY
(Sealed - with Implant)
NCLEX-RN & PN TEST PREP COURSE
Conductedby:GeorgeMataMontausRN,MSN/EdandWalterUrdasDonatoBSN,RN
[email protected]#714-679-9320Fax#909-247-2721
Ø Clothing's,bodysecre2onsarecontaminatedfor48hours
Ø PrivateroomwithbathroomØ Flushbowl2x,Rinsebasin2xØ Eatusingdisposableutensils,laundryclothing'sseparately
Ø Offisola2onaQer48hours
Patient and Family Teaching Regarding INTERNAL RADIATION THERAPY
(unsealed – without Implant)
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NCLEX-RN & PN TEST PREP COURSE
Conductedby:GeorgeMataMontausRN,MSN/EdandWalterUrdasDonatoBSN,RN
[email protected]#714-679-9320Fax#909-247-2721
SIDE EFFECTS OF CHEMOTHERAPY AND RADIATION THERAPY
Ø NauseaØ VomiAngØ DiarrheaØ ConsApaAonØ StomaAAsØ PruritusØ AlopeciaØ SkinpigmentaAonØ Nailchanges
Ø Anemia Ø Neutropenia Ø Thrombocytopenia Ø Hemorrhagic cystitis
ü Urine color changes (Blood)
Ø Premature menopause or Amenorrhea
NCLEX-RN & PN TEST PREP COURSE
Conductedby:GeorgeMataMontausRN,MSN/EdandWalterUrdasDonatoBSN,RN
[email protected]#714-679-9320Fax#909-247-2721
CLIENT WITH BREAST CANCER
Ø RiskFactors• MenstruaAonbeforeage11.• Menopauseaferage50.• Familyhistoryofbreastcancer.• Birthoffirstchildaferage30.• Nulliparity.• Useofhormones(birthcontrolpills)• Historyofuterinecancer.• Associatedwithobesity,DMandHypertension.
• Presenceofbenignbreastdisease.
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NCLEX-RN & PN TEST PREP COURSE
Conductedby:GeorgeMataMontausRN,MSN/EdandWalterUrdasDonatoBSN,RN
[email protected]#714-679-9320Fax#909-247-2721
NCLEX-RN & PN TEST PREP COURSE
Conductedby:GeorgeMataMontausRN,MSN/EdandWalterUrdasDonatoBSN,RN
[email protected]#714-679-9320Fax#909-247-2721
10
NCLEX-RN & PN TEST PREP COURSE
Conductedby:GeorgeMataMontausRN,MSN/EdandWalterUrdasDonatoBSN,RN
[email protected]#714-679-9320Fax#909-247-2721
NCLEX-RN & PN TEST PREP COURSE
Conductedby:GeorgeMataMontausRN,MSN/EdandWalterUrdasDonatoBSN,RN
[email protected]#714-679-9320Fax#909-247-2721
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NCLEX-RN & PN TEST PREP COURSE
Conductedby:GeorgeMataMontausRN,MSN/EdandWalterUrdasDonatoBSN,RN
[email protected]#714-679-9320Fax#909-247-2721
NCLEX-RN & PN TEST PREP COURSE
Conductedby:GeorgeMataMontausRN,MSN/EdandWalterUrdasDonatoBSN,RN
[email protected]#714-679-9320Fax#909-247-2721
Ø Firm,non-tender,non-mobilemasses.Ø Solitary,irregularlyshapedmass.Ø Adherencetomuscleorskincausingdimplingeffect.
Ø InvolvementofupperouterquadrantorcentralnippleporAonofbreast.
Ø Asymmetryofthebreasts.Ø “orangepeel”skin.Ø RetracAonofnipple.Ø Abnormaldischargefromnipple.
Classic Symptoms of Breast Cancer
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NCLEX-RN & PN TEST PREP COURSE
Conductedby:GeorgeMataMontausRN,MSN/EdandWalterUrdasDonatoBSN,RN
[email protected]#714-679-9320Fax#909-247-2721
NCLEX-RN & PN TEST PREP COURSE
Conductedby:GeorgeMataMontausRN,MSN/EdandWalterUrdasDonatoBSN,RN
[email protected]#714-679-9320Fax#909-247-2721
STAGESOFCANCEROFTHEBREAST
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NCLEX-RN & PN TEST PREP COURSE
Conductedby:GeorgeMataMontausRN,MSN/EdandWalterUrdasDonatoBSN,RN
[email protected]#714-679-9320Fax#909-247-2721
COLLABORATIVE MANAGEMENT Ø Surgery
ü Lumpectomy ü Simple Mastectomy ü Modified Radical Mastectomy (MRM) ü Radical Mastectomy (Halstead Surgery)
Ø Chemotherapy Ø Radiation Therapy
NCLEX-RN & PN TEST PREP COURSE
Conductedby:GeorgeMataMontausRN,MSN/EdandWalterUrdasDonatoBSN,RN
[email protected]#714-679-9320Fax#909-247-2721
Ø Nursing Managements Ø Psychosocial Support. Ø Arm exercises. Ø Wound suction drainage. Ø DBCT exercises.
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NCLEX-RN & PN TEST PREP COURSE
Conductedby:GeorgeMataMontausRN,MSN/EdandWalterUrdasDonatoBSN,RN
[email protected]#714-679-9320Fax#909-247-2721
NCLEX-RN & PN TEST PREP COURSE
Conductedby:GeorgeMataMontausRN,MSN/EdandWalterUrdasDonatoBSN,RN
[email protected]#714-679-9320Fax#909-247-2721
Ø PostOperaAveNursingIntervenAons
§ Semi–Fowler’sposiAonwitharmabductedandelevatedonpillows.
§ PostsignonARMPRECAUTION.§ IniAateexercisestopreventsAffnessandcontracturesofshouldergirdle.
§ Reinforcespecialmastectomyexercisesasprescribed.
§ ProvideadequateanalgesiatopromoteambulaAonandexercise.
§ Encourageregularcoughinganddeepbreathingexercises.
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NCLEX-RN & PN TEST PREP COURSE
Conductedby:GeorgeMataMontausRN,MSN/EdandWalterUrdasDonatoBSN,RN
[email protected]#714-679-9320Fax#909-247-2721
n Teach patient to avoid constrictive clothing and report persistent edema, redness, or infection of incision.
n Teach patient importance of continuing monthly breast examination on remaining breast.
NCLEX-RN & PN TEST PREP COURSE
Conductedby:GeorgeMataMontausRN,MSN/EdandWalterUrdasDonatoBSN,RN
[email protected]#714-679-9320Fax#909-247-2721
COMPLICATIONS OF BREAST CANCER SURGERY
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NCLEX-RN & PN TEST PREP COURSE
Conductedby:GeorgeMataMontausRN,MSN/EdandWalterUrdasDonatoBSN,RN
[email protected]#714-679-9320Fax#909-247-2721
n Prevention of Lymphedema n “AVOID’s”
n Cuts n Scratches n Pinpricks n Hangnails n Insect bites n Burns n Strong detergents
NCLEX-RN & PN TEST PREP COURSE
Conductedby:GeorgeMataMontausRN,MSN/EdandWalterUrdasDonatoBSN,RN
[email protected]#714-679-9320Fax#909-247-2721
n “DONT’s” n Carry purse or anything
heavy n Wear wristwatch or jewelry n Pick at or cut cuticles n Work near thorny plants or
dig in garden n Reach into hot oven n Injections, withdrawal of
blood, BP – taking
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NCLEX-RN & PN TEST PREP COURSE
Conductedby:GeorgeMataMontausRN,MSN/EdandWalterUrdasDonatoBSN,RN
[email protected]#714-679-9320Fax#909-247-2721
n “DO’s” n Wear loose rubber gloves n Wear a thimble n Apply lanolin hand cream n Contact PMD if arm gets red, warm,
or hard or swollen n Return for check – up n Wear “Medic Alert” tag: CAUTION -
LYMPHEDEMA
NCLEX-RN & PN TEST PREP COURSE
Conductedby:GeorgeMataMontausRN,MSN/EdandWalterUrdasDonatoBSN,RN
[email protected]#714-679-9320Fax#909-247-2721
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