Exam 1: NUR2502/ NUR 2502 (Latest 2023/ 2024) Multidimensional Care III/ MDC 3 Exam| Complete Guide with Questions and Verified Answers| 100% Correct - Rasmussen

Exam 1: NUR2502/ NUR 2502 (Latest 2023/ 2024) Multidimensional Care III/ MDC 3 Exam| Complete Guide with Questions and Verified Answers| 100% Correct - Rasmussen Q: Breast Cancer Prognosis Answer: -tumor size -nodal involvement -tumor differentiation -estrogen & progesterone receptor status -*HER-2 Status: human epidermal growth factor receptor 2* Q: Survival breast cancer rates Answer: -Localized breast cancer: 99% -Spread to regional lymph nodes: 85% -Metastic breast cancer: 27% Q: Benign (non cancer) breast issues: Answer: -Fibroadenoma -Fibrocystic breast condition Q: Fibroadenoma Answer: -benign but does hold a *slightly increase risk for breast cancer* -tumors are oval, freely mobile, rubbery, and vary in size. -If cystic: will usually be monitored -If solid: will usually be removed Q: Fibrocystic breast condition Answer: -*Not a risk factor for breast cancer* -changes to lobules, ducts, & stromal tissues of the rbeast -Thought to be caused by an imbalance in normal estrogen/ progesterone ratio -S/E: pain, tenderness, swelling before menstruation. -Treatment: diuretics to reduce swelling, analgesics for pain, SERM, oral contraceptives Q: Assessment details Answer: -patient history -nutrition history -personal/familyhistory -co-morbid issues -history of presenting condition -physical exam (breast, abdomen, pelvis, genitals) -psychosocial assessment -diagnostic (labs usually hormone levels) Q: Breast cancer nursing interventions Answer: -pain management -diet support -comfort -drug therapy -support groups -symptom management -education -links to resources -depression/ anxiety screening -surgery prep -post surgery care -involve client in care planning -*ARM health: functional restoration, precautions, supported with pillow, excercises, PT/OT if appropriate, not dependent for long periods of time, use other arm to carry bags, hygeine habits* Q: Uterine Leiomyoma Answer: -Uterine fibroids -Benign uterine growth in the myometrium (smooth muscle) classified by locaiton -Most common benign tumors in women -3 types: *Intramural* (in uterine wall), *Submucosal*(protrudes into the cavity of the uterus can cause bleeding/disrupt pregnancy), *Subserosal* (protrudes through the other surface, can press against other organs) Q: Uterine Leiomyoma signs and symptoms Answer: -bleeding, pain, symptoms associated with pelvic pressure Q: Uterine Leiomyoma Treatment options Answer: -Non-ivasive: monitor, oral contraceptives (most common treatment), magnetic resonance guided focused ultrasound surgery, uterine arter embolization. -Surgery: laparoscopic myomectomy, hysterectomy Q: Uterine Prolapse Answer: uterine herniation into the vagina Q: Uterine prolapse S/S Answer: -feeling pelvic pressure -dyspareunia (painful intercourse) -Stress urinary incontinence -Urinary elimination issues -Rectocele (hemorrhoids, constipation, fecal impactation) Q: Uterine Prolapse treatment Answer: -Nothing -Kegal excercises -pessary (prosthetic device) -Surgery: surgical vaginal mesh, anterior colporrhaphy posterior colporrhaphy. Q: anterior colporrhaphy Answer: tightens pelvic muscles for better bladder support, splint abdomen, limit physical activity, weight rest 5lbs, no sex for 6 weeks. Q: posterior colporrhaphy Answer: