Critical Thinking Case Study - Breast Cancer R. M. is 68 yr white...

Question Answered step-by-step Critical Thinking Case Study – Breast Cancer R. M. is 68 yr white… Critical Thinking Case Study – Breast CancerR. M. is 68 yr white female who went to her healthcare provider with a complaint of “feeling tightness” around a lump in her right breast. She has a history of hypertension and smoking (25-pack year history).Subjective Data:· Has a family history with one sister having breast cancer. Mother and Aunt died from breast cancer in their 60’s.· Has had history of “lumpy” breasts, but this one feels different· Says she cannot quit smoking because of all the stress in her life. Her husband recently left her and has not seen her two daughters in more than 6 months.· She spends most of her time watching TVObjective Data:5’9″, 205 lbsBP 165-100, pulse 76, RR 20, temp 98.8Palpable mass in right breast in upper outer quadrantDiagnostic Studies:Bilateral mammogram and ultrasound of right breast R.M. goes to her follow-up visit and is told that the mammogram and ultrasound shows a 4 cm mass. She undergoes a core needle biopsy, which indicates the mass in cancerous. She undergoes a lumpectomy and axillary lymph node dissection. Six of the 15 lymph nodes were positive for cancer. What are R.M.’s risk factors for breast cancer? R.M. tells you that she has not heard a word the doctor said after she heard the words “positive lymph nodes”. R. M. asks why she has to have chemotherapy and radiation and what they involve. How would you as the nurse respond to this question? R.M. asks why she has to have more than one chemotherapy agent. How would you as the nurse respond to this question? What instructions should R. M. receive regarding the care of and protection of the skin during radiation treatment area? What are some factors that you should assess for that may influence how R.M. will cope with the diagnosis of cancer? R.M. daughter’s both test negative for the BRCA1 and BRCA2 genes. They express concern to you as the nurse that they are still at risk for developing cancer and want to know what they should do to prevent or detect it. What should you as the nurse tell them? TaskDevelop medication sheets for:Tamoxifin (Soltamox)Anutrozole (Arimidex)Leuprolide (Lupron)Letrozol (Femera)methotrexate (Rheumatrex) SteroidsPrednisoloneMethylprednisoloneDexamethasone Name[CD1] of Medication: __________________________________________________General Purpose: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Action/System: 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Education:________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Nursing Considerations (Monitoring and Interventions, etc.):________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Interactions (other medications foods, etc): ____________________________________________________________________________________________________________________________________________________________________________________________________________________________Name[CD2] of Medication: __________________________________________________General Purpose: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Action/System: 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Education:________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Nursing Considerations (Monitoring and Interventions, etc.):________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Interactions (other medications foods, etc): ____________________________________________________________________________________________________________________________________________________________________________________________________________________________ Name[CD3] of Medication: __________________________________________________General Purpose: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Action/System: 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Education:________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Nursing Considerations (Monitoring and Interventions, etc.):________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Interactions (other medications foods, etc): ____________________________________________________________________________________________________________________________________________________________________________________________________________________________ Name[CD4] of Medication: __________________________________________________General Purpose: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Action/System: 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Education:________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Nursing Considerations (Monitoring and Interventions, etc.):________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Interactions (other medications foods, etc): ____________________________________________________________________________________________________________________________________________________________________________________________________________________________ Name[CD5] of Medication: __________________________________________________General Purpose: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Action/System: 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Education:________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Nursing Considerations (Monitoring and Interventions, etc.):________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Interactions (other medications foods, etc): ____________________________________________________________________________________________________________________________________________________________________________________________________________________________Name[CD6] of Medication: __________________________________________________General Purpose: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Action/System: 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Education:________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Nursing Considerations (Monitoring and Interventions, etc.):________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Interactions (other medications foods, etc): ____________________________________________________________________________________________________________________________________________________________________________________________________________________________Name[CD7] of Medication: __________________________________________________General Purpose: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Action/System: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Side Effects/ Adverse Reactions: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Patient/ Family Education:________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Nursing Considerations (Monitoring and Interventions, etc.):________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Interactions (other medications foods, etc): ____________________________________________________________________________________________________________________________________________________________________________________________________________________________Name[CD8] of Medication: __________________________________________________General Purpose: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Action/System: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Side Effects/ Adverse Reactions: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Patient/ Family Education:________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Nursing Considerations (Monitoring and Interventions, etc.):________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Interactions (other medications foods, etc): ______________________________________________________________________________________________________________________________________________________________________________ Health Science Science Nursing NUR 212 Share QuestionEmailCopy link Comments (0)