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Complex final NCTC
Final study guide for complex NCTC
Question | Answer |
---|---|
Traditional therapy for Vulvular cancer | radical vulvectomy, hemivulvectomy |
Leiomyomas | fibroids |
Leiomyoma s/s | benign smooth muscle tumor occur within the uterus usually asymptomatic pelvic pressure bleeding tx depends on symptoms |
Cervical cancer, Surgical intervention | biopsy cone invasive tx with hx lazer cone excision cryotherapy to destroy the tissue pelvic extenoration removal of the whole works with ostomies included |
Cervical cancer - diagnostic | pain is a late symptom pap test is diagnostic test of choice Total hx not needed for pap test testing for HPV also identifies high risk pt biopsy of cone shaped segment may be diagnostic and treatment |
Cervical cancer - teaching | teach for screeneng cancer can be avoided detected early yearly pelvic exam or pap test important health care activity |
Cervical cancer - Prevention | limit sexual partners vaccine for HPV now available |
Cervical cancer - Nursing diagnosis | Anxiety Acute pain Disturbed body image Ineffective sexuality patterns Ineffective breathing pattern Grieving |
Ovarian cancer | Preop preparation Douche or enema Catheter |
ovarian cancer | after surgery Frequent position changes and avoidance of pressure under knees Leg exercises Abdominal binder Compression stockings to prevent DVT Observe dressings for bleeding |
ovarian cancer | Discharge teaching Activity restrictions Garments Manifestations of infection |
prostate cancer | Diagnostic considerations PSA test prostate specific antigen test 0-4 is normal dre digital rectal examination |
prostate cancer Surgical intervention Radical prostatectomy | entire gland removed seminal vesicals neck of the bladder lymph node most effective treatment for long term survival prefferred tx for pts under 70 pertional -cannot remove lymph nodes |
Prostate cancer surgical intervention after surgery | large indwelling cath usually left in place 1-2 wks drains 3 day stay usually |
Prostate cancer therapeutic considerations | slow growing cancer radiation surgical brachytherapy - internal radiation seeding |
Prostate cancer drug therapy | chemotherapy hormonal therapy largely dependent on androgens deprovation of androgens can be a treatment can give luteinizing hormone can remove testicals for hormone reduction |
prostate cancer nursing diagnosis | decisional conflict rt many treatment options pain retention impaired urinary elemination constipation sexual dysfunction anxiety fear |
prostate cancer assessment - subjective | meds functional health paters family history increasing fatigue and malise nutritional and metabolic elimination patters pain anxiety |
prostate cancer assessment - objective | age pelvic or lymph adenopathy distended bladder upon palpation pathologic fractures increased PSA biopsy anemia |
prostate cancer implementation | health promotion ambulatory and home care high fluid intake kegil exercises |
testicular cancer - surgical intervention | Surgical intervention orchadectomy just teste radical orchadectomy testical spermatic cord reginal lymph nodes |
testicular cancer - diagnostics | family history painless lump scrotal heaviness scrotal swelling diagnosed by palpation firm and does not transilluminate afp, HGC, LDH levels are checked Chest x ray and ct of abd and pelvis to check for metastis |
testicular cancer - theraputic | surgery chemo radiation requires a vasecomy to prevent birth defects very high survival rate |
Testicular cancer - Nursing diagnosis | anxiety grieving |