Solutions
What is the first thing the nurse should do if she suspects any
issues with a patients chest tube?
Make sure the chest tube connections are secure
What are the steps to a self breast exam?
Step 1: Lie down and place left arm behind head (lying down
spreads breast tissue evenly)
Step 2: Use finger pads of 3 middle fingers on your right hand to
feel for lumps in the left breast. Use overlapping dime-sized
circular motions to feel breast tissue. Light, medium, and firm
pressure to feel each layers. (A firm ridge on the curve of each
breast is normal)
Step 3: Move around breast in a vertical pattern at an imaginary
straight line down your side from the underarm.
Respect for right breast.
Step 4: Stand in front of mirror and tighten pectoral muscles for
any redness, lumps, shapes, or scaliness near nipples.
Step 5: Examine each underarm for and knot, or thickening
tissue
What prevents lipedema?
, Exercise, healthy diet (health maintenance)
Treatment for lipedema?
Healthy diet, exercise, compression stockings, good skin/nail
care, decongestive therapy, elevate extremity, isometric
exercises
What are neutropenic precautions?
Avoid fresh fruits/veggies, no fresh flowers, good hand hygiene
(infection prevention)
Signs and symptoms of thrombocytopenia?
Most patients are asymptomatic, but s\s include bleeding
(mucosal or cutaneous), bruising, petechiae, purpura, and s\s of
hemmorhaging.
Adverse affects of chemo/radiation?
Nausea, vomiting, anorexia, diarrhea, skin breakdown,
reproductive dysfunction, nephrotoxicity, neuropathy, anemia
Fatigue management for chemo?
Encourage moderate exercise as tolerated, encourage rest when
fatigued but to continue to maintain lifestyle patterns as much as
possible while pacing activities to energy level, and reassure that
fatigue is a common side affect
Stages of cancer?
Initiation
Promotion