Nursing Care Plans. What is another warning sign of cancer? You have not finished your quiz. Cancer is 2 centimeters or less and is confined to the breast (lymph nodes are clear). It’s recommended that women between ages 20 and 40 have a professional breast examination (not a mammogram) every 3 years. Which assessment finding indicates a fluid and electrolyte imbalance induced by chemotherapy? A woman’s risk of breast cancer approximately doubles if she has a first-degree relative (mother, sister, daughter) who has been diagnosed with breast cancer. Stomatitis. According to the ACS guidelines, “Women older than age 40 should perform breast selfexamination monthly (not annually).” The hormonal receptor assay is done on a known breast tumor to determine whether the tumor is estrogen- or progesterone-dependent. It does not treat pancreatic cancer. Axillary lymph nodes may or may not be palpable on initial detection of a cancerous mass. after the first menstrual period and annually thereafter. Biopsy or aspiration confirms diagnosis and determines the type of breast cancer. This drug, in combination with surgery and other chemotherapeutic drugs reduces breast cancer recurrence by 30 percent. Herceptin is a monoclonal antibody directed against Her-2/neu oncogene; may be effective for patients who express this gene. The nurse needs to encourage the client to verbalize and to listen and correctly provide explanations when needed. Teach the patient how to maximize her or his respiratory effort. The nurse is teaching the client about breast self-examination. Principal breast cancer drugs include cyclosphosphamide, methotrexate, fluorouracil, doxorubicin, and paclitaxel. A client receiving chemotherapy for breast cancer has an order for Zofran (ondansetron) 8mg PO to be given 30 minutes before induction of the chemotherapy. The client should continue to perform monthly breast self-examinations even when receiving yearly mammograms. Please visit using a browser with javascript enabled. Breast Cancer is most likely to spread to your ____________area. Blood testing detects metastasis; this includes liver function tests to detect liver metastasis and calcium and alkaline phosphatase levels to detect bony metastasis. The tumor is larger than 2 but no larger than 5 centimeters and has spread to the axillary lymph nodesORthe tumor is larger than 5 centimeters but has not spread to the axillary lymph nodes. The client must report changes in visual acuity immediately because this adverse effect may be irreversible. The average age of the women in the group is 47. A tumor that developes in the breast area. Nulliparity and later maternal age for first birth are associated with increased risk for breast cancer. The cancer has spread — or metastasized — to other parts of the body. No tumor can be found in the breast, but cancer cells are found in the axillary lymph nodes (the lymph nodes under the arm)ORthe tumor measures 2 centimeters or smaller and has spread to the axillary lymph nodesOR. Other options are incorrect because they would not help facilitate lymph drainage and would create increased edema in the affected extremity. The 2000 Consensus Development Conference Statement states that all women with invasive breast cancer should consider the option of systemic chemotherapy, not just women whose tumors are greater than 1 cm in size. Chest X-rays can be used to pinpoint rib metastasis. Only a physician can diagnose lumps that are cancerous, areas of thickness or fullness that signal the presence of a malignancy, or masses that are fibrocystic as opposed to malignant. They deserve your attention and care, even if all you do is smile and say hello." Sources: Administer antiemetics prophylactically, as directed, for patients receiving chemotherapy. Asymmetry of the breast may be noted as the woman changes positions; compare one breast with the other. fluids and hyperalimentation as indicated. Postmenopausal women because their bodies lack fluctuation of hormone levels, should select one particular day of the month to do breast self-examination. Erikson (1963) described the normal and evolving social and psy - chological traumas in the human life cycle. Marilyn Sawyer Sommers, RN, PhD, FAAN , Susan A. Johnson, RN, PhD, Theresa A. Beery, PhD, RN , DISEASES AND DISORDERS A Nursing Therapeutics Manual, 2007 3rd ed. What is the percentage of breast tissue that can be removed and rearranged to have the breast still looking like a breast? Increased risk is associated with early menarche (i.e., menses beginning before 12 years of age). A well-known estrogen antagonist used in breast cancer therapy is tamoxifen (Nolvadex). Persistent nausea may signal stomach cancer but isn’t one of the seven major warning signs. A baseline mammogram should be done between ages 30 and 40. Breast Cancer Nursing Care Plan & Management. Monthly breast self-examinations should be done between days 7 and 10 of the menstrual cycle. Various members of the audience have made all of the following statements. Nipple retraction or scalliness, especially in Paget’s disease. Nurse April is teaching a client who suspects that she has a lump in her breast. Nursing home care for terminally ill cancer patients was organized according to nursing care plans that were based on diagnoses as recommended by the North American Nursing Diagnosis Association … If loading fails, click here to try again. ), pain control, promoting nutrition, and emotional support. They improve communication between you and your physician and allow you to participate more fully in decisions related to your care. Bloody nipple discharge is a sign of intraductal papilloma, a benign condition. The nurse recognizes which of the following statements as accurately reflecting a risk factor for breast cancer? Signs of fluid loss include dry oral mucous membranes, cracked lips, decreased urine output (less than 40 ml/hour), abnormally low blood pressure, and a serum potassium level below 3.5 mEq/L. er when communicating with and ensuring quality care for patients with cancer. Nursing care plans for cancer involves assessment, support for therapies (e.g., chemotherapy, radiation, etc. Nina, an oncology nurse educator is speaking to a women’s group about breast cancer. Glucagon is a pancreatic alpha cell hormone, which stimulates glycogenolysis and gluconeogenesis. Coordinated care at every level —A plan of care is developed with the advice and consent of the patient’s oncologist or other physician. The nurse should, call the MD to change the dressing so Kathy can see the incision, recognize that Kathy is experiencing denial, a normal stage of the grieving process. It does not treat thyroid cancer. The purpose of the medication is to: Zofran is given before chemotherapy to prevent nausea. reinforce Kathy’s belief for several days until her body can adjust to stress of surgery. On the 1st and last days of the cycle, the woman’s breasts are still very tender. Cancer is found in axillary lymph nodes  that are sticking together or to other structures, or cancer may be found in lymph nodes near the breastboneORthe tumor is any size.