Wednesday, May 25, 2005

Q14 from Final N2 study guide

Cancer
a.
Which medications would breast cancer pts take to specifically combat their disease process?
P-1369
Estrogen receptor blockers - tamoxifen (Nolvaldex) and toremifene (Fareston)
Estrogen receptors destroyer - fulvestrant (Faslodex)
Prevents estrogen production by inhibiting aromatase - fulvestrant (Faslodex), anastrozole (Arimedex), letrozole (Femara), exemestane (Aromasin), vorozole (Rizivor), aminoglutethimide (Cytadren)
b.
What nursing interventions are appropriate to manage the side effects of antineoplastics?
Small frequent plain meals
eat protein early in day
low residue diet
metoclopramide (Reglan), ondansetron (Zofran), granisetron (Kytril), dexamethazone (Decadron), aprepitant (Emend)
gum, hard candy
tables on P306-307 nursing interventions
c.
What are risk factors and when is screening appropriate for cancer?
It's in your genes (BRCA I, II) breast cancer
Environmental
Smoking
Drinking
Lifestyle
etc
Lots in the power point and notes

What does the letter in ABCD method of assessment stand for?
A asymmetry
B border
C color
D diameter

d.
Who is hospice care for?
Not for those who are still seeking a cure, but to help them with comfort through the end of life process.
Palliative Care = Comfort Care

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