Nursing MedSurg Lewis Ch. 16 - Cancer

2. What additional questions should you ask regarding this patient’s chief reason for seeking care?

S first, because of the worsening back pain, which can be indicative of a potential rupture and therefore be life threatening. The RN would have the UAP take vitals and report within specific parameters to maintain a close watch over Mr. S. This is the only thing the UAP would be able to do within their scope of practice but she would be alleviating the workload. Next, the RN would assess Mr. R who is reporting severe pain due to an arterial ulcer. She would use the universal pain scale and would ask what his pain level is from a 0-10. Depending on his response, the RN would then proceed by administering pain medication depending on the rating of the pain and the physicians order. The RN would then ask the LPN/LVN to administer the pain meds but only if they are PO. If it were an IV pain medication, the RN would have to administer due to the scope of practice. In 2009, Chornick found that the scope of practice for each staff member needs to be clear and delegation needs to be administered to the competent individuals who are able to perform each task according to the current situation. After administering the pain medication, the RN would need to return to Mr. R within 30 minutes to reassess the pain level and make sure the pain had subside. After treating Mr. R, the RN would assist Ms. A by providing teaching of the Doppler study that would be performed and answer any questions she may have prior to the

In order to determine the nutritional care of Mrs Gale the nursing process will be used. Nursing was described as a problem-solving process with 4 stages termed; assessment, planning, implementation and evaluation by Yura & Walsh (1967) (cited Aggleton & Chalmers 2000). This principle is still used in clinical practice today and is considered to be best practice (Bloomfield & Pegram 2012).

2) A nurse conducts an assessment on a patient who is taking Propanolol for supraventriculartachycardia. Which finding is an indication that the patient is having an adverse effect of this drug?

his chronic pain in his back. Nurse J. never questioned the orders for medications or the

The district nursing team were now to be responsible for the wound care of an ulcer on the sole of her right foot on her impending discharge. She had previously attended the practice nurse and a podiatry service based within her local clinic. Due to a change in circumstances, she was now clearly housebound for the near future due to mobility issues. Prior to an arranged visit, the patient had called the nurse to advise her that she was pyrexial and was experiencing a pain in her right foot that was different from her normal neuropathic pain, which was often problematic. She was also finding it difficult to mobilise and was disinclined for diet but was taking oral fluids.

7. Which collaborative problem will the nurse include in a care plan for a patient admitted to the

So, consider food items such as room temperature scrambled eggs, chicken, beef, fish, and nut butter like almond and peanut. Consider the spices put into the food and the consistency, depending on how much a person can take.

b. Have the patient sit in a chair with the feet flat on the floor.

may receive treatment close by their homes (Patel 1). The author uses this sentence to throw readers off from the one negative downfall they mentioned. In another article a Doctor properly discusses all the many side effects. And according to Doctor Lisa Richardson article, “10 Things Every Cancer Patient Should Know”, she describes that “As an oncologist, the side effects is one of my main concerns for my patients. Infection can not only make you sick, it can also delay chemo treatment, put you in the hospital, or, even worse, cause death”. Doctor Richardson- a director for the CDC of cancer prevention- states that these side effects are very important to discuss with patients because of how severe the downfalls can be. While Dr. Richardson

Oncologic Emergencies are both life threatening and detrimental to a patient’s health. As stated by (Tan), “An oncologic emergency is a clinical condition resulting from a structural or metabolic change caused by cancer or its treatment that requires immediate medical intervention to prevent loss of life or quality of life.” Oncologic emergencies can be further classified as metabolic, hematologic, neurologic, or cardiovascular. Superior vena cava syndrome and spinal cord compression can be considered oncologic emergencies. Superior vena cava syndrome is classified as cardiovascular while spinal cord compression is classified as neurologic and/or structural. Treatment options vary depending on the severity of the disease. When

Often in practice, we as nurses deal with a variety of diseases and treatments and often have to react to the illness that the patient presents with upon our interaction. While this is an essential piece of our practice, we also have a duty to our patients to be proactive in preventing specific health-related consequences based on their risk factors and to promote their health and well being. Health promotion as it relates to nursing is about us empowering our patients to increase their control over their lives and well beings and includes: focusing on their health not just illness, empowering our patients, recognizing that health involves many dimensions and is also effected by factors outside of their control (Whitehead et al. 2008)..

Nurses play an important role in promoting health within the patient, family, and community (Kemppainen, Tassavainen, & Turunen, 2012). The focus of patient care has been transferred from treating the illness to disease prevention (Mchugh, Robinson, & Chesters, 2010). The implementation of consultation, education, and follow up exams can increase the overall quality of life for an individual (Kemppainen et al., 2012). I will discuss the various roles of a nurse in health promotion along with the multiple work environments in which they can be implemented within. I will also reveal the maintenance plan of my own personal health regimen.

interpret the results of diagnostic and laboratory examinations undergone by our client and identify the corresponding nursing considerations;

Jack woke up one morning not feeling well. He felt very weak and could not get out of bed. His mother decided to take him to the doctors. The doctors took many tests to figure out what was making him feel that way. After about an hour or two the doctors got the results back from a blood test. Results that would change Jack’s childhood for the worse. Jack has been diagnosed with Leukemia, a blood cancer. Of course, Jack was not sure what that meant but, his parents became worried beyond belief with the long road ahead of them. Scientists and researchers were all involved in the discovery of Leukemia cancer, which increased knowledge of this cancer, decreased deaths and discovered treatments, and started charity groups to fund research.