Question

M.D. is a 50-year-old woman whose routine mammogram showed a 2.3-×4.5-cm lobulated mass at the 3 o'clock position in her left breast. M.D. underwent a stereotactic needle biopsy and was diagnosed with infiltrating ductal carcinoma, estrogen receptor positive. The staging workup was negative for distantmetastasis. Her final staging was stage IIB. She had a modified radical mastectomy with lymph node dissection. The sentinel lymph node and 4 of 16 lymph nodes were positive for tumor cells. An implanted port was placed during surgery.

1. Surgical intervention is the primary treatment for breast cancer. Describe the surgical
procedure that M.D. had.

2. What actions will you teach M.D. to reduce her risk of developing lymphedema?

3. M.D. asks you why she has to have chemotherapy with so many drugs if the surgeon removed
all of the cancer. How would you respond?

4. The physician orders a 500-mL normal saline bolus now, with orders to infuse over 2 hours.
You decide to use M.D.'s implanted port for intravenous (IV) access. After you access the port
and connect the fluid, the infusion pump alarms that the line is occluded. What will you do?

Answer 1

1, Excisional breast biopsy or lumpectomy

2,2event infections,massage therapy, keep the arm raised, Diert and weight management, Compression bandage,Exercise

3,Chemotherapy will help the patient to destroy the malignant cell from the body if it is escaped from the surgery and also if any metastasis happent through the lyphatic system the chemotherapy help such remote malignant cells.

4, The nurse can flush the line once to remove any blood clot if present, Then also it is not going inform the doctor,After and before the infusion the nurse should flush the line with distilled water to maintain the patency of the line.

Plz give a thums up