Modules 1-3: Multidimensional Care
Strategies
Nursing care for a client with breast cancer - ANS1. chemotherapy: assess for n/v, alopecia,
leukopenia, stomatitis, & fatigue
2. monitor I&O
3. consult dietician
4. radiation therapy: frequent skin breakdown
5. postop interventions: avoid BP in the arm of operative side
Nursing care for a client with fibrocystic breast condition - ANS1. educate on importance of
taking analgesic as prescribed
2. limit salt intake before start of menses
3. wear supportive bra
4. apply heat or ice
5. severe symptoms: hormonal drugs
Nursing care for a client with uterine leiomyoma - ANS1. may be asymptomatic
2. monitor for bleeding (hgb & hct)
3. educate on treatment options
4. postop intervention: provide emotional support for women of child-bearing age
5. discharge teaching: limit stair climbing, no lifting > 1o lbs, avoid sitting for long periods,
refrain from driving until cleared, educate on importance of f/u appointments, no sex for 4-6
weeks, monitor temp twice daily for 3 days post-op & report temps over 99.5; monitor
incision for signs of redness, pain, or drainage
Nursing care for a client with pelvic organ prolapse - ANS1. most don't require treatment
2. educate on pelvic muscle exercises
3. postop intervention: assess bowel sounds, monitor I&O, provide adequate pain control
4. discharge teaching: splint abdomen to protect sx site, avoid lifting over 5 lbs for 3 months,
no sex for 6 weeks, monitor for s/s of infection, educate on importance of f/u appointments,
follow a low fiber diet, take stool softeners, perform sitz baths
Nursing care for a client with endometrial (uterine), cervical, and ovarian cancer - ANS1.
provide emotional support
2. give info on counseling and support groups
3. postop interventions: monitor vaginal bleeding, incision bleeding, & site proximity. monitor
I&O, pain management
4. end-stage disease: hospice program
Nursing care for a client with cervical cancer - ANS1. pre-op interventions: prep client for
procedures such as cervical ablation, laster therapy, or cryotherapy
2. discharge instructions: refrain from sex (2-3 days post-op), no tampons/douche, no tub
baths, avoid heavy lifting; report vaginal bleeding, foul-smelling drainage, or fever
, Nursing care for a client with vulvovaginitis - ANS1. educate on importance of adequate rest,
healthy diet, regular excercise, good personal hygiene, & preventative measures
2. apply wet compress to affected area
3. warm/tepid sitz baths
4. apply prescribed meds
Nursing care for a client with toxic shock syndrome (TSS) - ANS1. removal of infectious
source
2. restore fluid/electrolyte balances
3. administer meds to manage hypotension
4. education to avoid future episodes: wash hands before inserting tampon, do not use dirty
tampon, insert tampon carefully & change q3-6 hrs, use pads at night; report fever, vomiting
or diarrhea & avoid use of tampons if hx of toxic shock syndrome
Nursing care for a client with benign prostatic hyperplasia (BPH) - ANS1. assess urinary
elimination, provide privacy & emotional support, prep patient for procedures
2. post intervention: monitor urinary output, perform continuous bladder irrigation to maintain
catheter patency, educate that urgency due to catheter is normal, pain management, monitor
for bleeding & bladder spasms, monitor catheter for obstruction, education on s/s of
infection, assess skin for breakdown, keep area clean & dry
Nursing care for a client with prostate cancer - ANS1. assist with finding resources for coping
2. postop interventions: maintain hydration, wound care assessment, pain management,
monitor indwelling catheter, education on post-discharge catheter care; educate on possible
post-op erectile dysfunction & pharm treatments such as PDE-5 inhibitors & Kegel perineal
exercises
Nursing care for a client with testicular cancer - ANS1. support patient psychosocially
(diagnosed at young age: risk for depression).
2. identify support systems
3. educate on option of sperm banking
4. assess sx site for bleeding, redness, swelling
5. monitor indwelling urinary catheter
6. pain management
7. education on catheter care to patient & family
Nursing care for a client with erectile dysfunction - ANS1. educate on treatment options such
as medications (PDE-5 inhibitors) or use of a vacuum-assisted device
Nursing care for a client with genital herpes - ANS1. administer oral analgesics
2. apply local anesthetic spray/ointments as perscribed
3. apply ice packs/warm compress
4. admin size baths 3-4x daily
5. encourage increased fluid intake
6. encourage frequent urination
7. pour water over genitalia to encourage voiding
8. catheterize as necessary
Strategies
Nursing care for a client with breast cancer - ANS1. chemotherapy: assess for n/v, alopecia,
leukopenia, stomatitis, & fatigue
2. monitor I&O
3. consult dietician
4. radiation therapy: frequent skin breakdown
5. postop interventions: avoid BP in the arm of operative side
Nursing care for a client with fibrocystic breast condition - ANS1. educate on importance of
taking analgesic as prescribed
2. limit salt intake before start of menses
3. wear supportive bra
4. apply heat or ice
5. severe symptoms: hormonal drugs
Nursing care for a client with uterine leiomyoma - ANS1. may be asymptomatic
2. monitor for bleeding (hgb & hct)
3. educate on treatment options
4. postop intervention: provide emotional support for women of child-bearing age
5. discharge teaching: limit stair climbing, no lifting > 1o lbs, avoid sitting for long periods,
refrain from driving until cleared, educate on importance of f/u appointments, no sex for 4-6
weeks, monitor temp twice daily for 3 days post-op & report temps over 99.5; monitor
incision for signs of redness, pain, or drainage
Nursing care for a client with pelvic organ prolapse - ANS1. most don't require treatment
2. educate on pelvic muscle exercises
3. postop intervention: assess bowel sounds, monitor I&O, provide adequate pain control
4. discharge teaching: splint abdomen to protect sx site, avoid lifting over 5 lbs for 3 months,
no sex for 6 weeks, monitor for s/s of infection, educate on importance of f/u appointments,
follow a low fiber diet, take stool softeners, perform sitz baths
Nursing care for a client with endometrial (uterine), cervical, and ovarian cancer - ANS1.
provide emotional support
2. give info on counseling and support groups
3. postop interventions: monitor vaginal bleeding, incision bleeding, & site proximity. monitor
I&O, pain management
4. end-stage disease: hospice program
Nursing care for a client with cervical cancer - ANS1. pre-op interventions: prep client for
procedures such as cervical ablation, laster therapy, or cryotherapy
2. discharge instructions: refrain from sex (2-3 days post-op), no tampons/douche, no tub
baths, avoid heavy lifting; report vaginal bleeding, foul-smelling drainage, or fever
, Nursing care for a client with vulvovaginitis - ANS1. educate on importance of adequate rest,
healthy diet, regular excercise, good personal hygiene, & preventative measures
2. apply wet compress to affected area
3. warm/tepid sitz baths
4. apply prescribed meds
Nursing care for a client with toxic shock syndrome (TSS) - ANS1. removal of infectious
source
2. restore fluid/electrolyte balances
3. administer meds to manage hypotension
4. education to avoid future episodes: wash hands before inserting tampon, do not use dirty
tampon, insert tampon carefully & change q3-6 hrs, use pads at night; report fever, vomiting
or diarrhea & avoid use of tampons if hx of toxic shock syndrome
Nursing care for a client with benign prostatic hyperplasia (BPH) - ANS1. assess urinary
elimination, provide privacy & emotional support, prep patient for procedures
2. post intervention: monitor urinary output, perform continuous bladder irrigation to maintain
catheter patency, educate that urgency due to catheter is normal, pain management, monitor
for bleeding & bladder spasms, monitor catheter for obstruction, education on s/s of
infection, assess skin for breakdown, keep area clean & dry
Nursing care for a client with prostate cancer - ANS1. assist with finding resources for coping
2. postop interventions: maintain hydration, wound care assessment, pain management,
monitor indwelling catheter, education on post-discharge catheter care; educate on possible
post-op erectile dysfunction & pharm treatments such as PDE-5 inhibitors & Kegel perineal
exercises
Nursing care for a client with testicular cancer - ANS1. support patient psychosocially
(diagnosed at young age: risk for depression).
2. identify support systems
3. educate on option of sperm banking
4. assess sx site for bleeding, redness, swelling
5. monitor indwelling urinary catheter
6. pain management
7. education on catheter care to patient & family
Nursing care for a client with erectile dysfunction - ANS1. educate on treatment options such
as medications (PDE-5 inhibitors) or use of a vacuum-assisted device
Nursing care for a client with genital herpes - ANS1. administer oral analgesics
2. apply local anesthetic spray/ointments as perscribed
3. apply ice packs/warm compress
4. admin size baths 3-4x daily
5. encourage increased fluid intake
6. encourage frequent urination
7. pour water over genitalia to encourage voiding
8. catheterize as necessary
