Question

MD is a 50-year-old woman who's routine mammogram showed a 2.3 times 4.5 CM lobulated mass at the 3:00 position in her left breast. MD underwent a stereotactic needle biopsy and was diagnosed with infiltrating duct carcinoma estrogen receptors positive. the staging workup was negative for distant metastasis. her final staging was stage 11b. she had a modified radical mastectomy with lymph node dissection. the lymph node and four of 16 lymph nodes were positive for tumor cells. an implanted Port was placed during surgery.
1.surgical interventions is the primary treatment for breast cancer. describe the surgical procedure that MD had.
2. what actions will you teach MD to reduce her risk of developing lymphedema.
3.MDX you why she has to have chemotherapy with so many drugs if the surgeon removed all of the cancer. how would you respond?
4 deposition orders a 500 mL normal saline bolus now, with orders to infuse over 2 hours. you decide to use MD's implant port for intravenous access. after you assess the port and connect the fluid, that infusion pump alarms that the line is occluded. what will you do?
I asked this question yesterday but I could not understand the writing can you please write it where I can understand

Answer 1

1 . M. D had radical mastectomy with lymph node dissection.

Radical mastectomy is a surgical procedure which involves removal of breast , including the lymph nodes of the axilla. This surgery is performed when the patient has diagnosis of breast cancer .

2. Teaching MD to reduce the risk of lymphedema include ----

• Avoid wearing tight clothes specially in the area of arms .
• Avoid extreme hot conditions on the hand.
• Exercising helps to prevent lymphedema which can be done after treatment with cancer.
• While resting, elevate the hands.

3 . MD has to be given health education regarding the importance of chemotherapy. Chemotherapy is given as an adjuvant therapy to reduce the chances of cancer spread or metastasis to other organs.

4. A sterile water or normal saline water has to be flushed which clears the block and eases the flow of medications.

Thank you.