Case Study, Chapter 15, Oncology: Nursing Management in Cancer Care

1. Emanuel Jones, 60 years of age, is male patient diagnosed with small cell carcinoma. He underwent surgery in the past to remove the left lower lobe of his lung. He is receiving chemotherapy. Two weeks before a round of chemotherapy, a complete blood count with differential, and a renal and metabolic profile are obtained for the patient. The patient presents to the oncology clinic for chemotherapy with a temperature of 101°F. Further assessment reveals decreased breath sounds in the right base of the right lung, and a productive cough expectorating green colored mucus. The patient is short of breath and has a pulse oximetry reading that is SaO2 of 85% on room air. The patient has a history of benign prostate hypertrophy (BPH) and has complaints of urinary frequency and burning upon urination. The patient is admitted to the oncology unit in the hospital. The oncologist orders the following: blood, sputum, and urine cultures; and a chest x-ray. An x-ray of the kidneys, ureters, bladder (KUB) is ordered. An arterial blood gas (ABG) on room air, CBC with differential, and renal and metabolic profile are ordered. Oxygen is ordered to begin with nasal cannula at 2 L/min and titrate to keep SaO2 greater than 90%. A broad-spectrum antibiotic, levofloxacin 500 mg in 100 mL of NS is ordered to be administered IV over 60 minutes once daily.

1. After examining the physician orders, in what sequence should the nurse provide the care to the patient admitted to the hospital? Give the rationale for the sequence chosen.
2. On what areas should the nurse focus the assessment to detect potential complications for Mr. Jones?
3. What patient education does Mr. Jones need from the nurse to help prevent the reoccurrence of an infection and to get treatment for an infection promptly?

2. The oncology clinical nurse specialist (CNS) is asked to develop a staff development program for registered nurses who will be administering chemotherapeutic agents. Because the nurses will be administering a variety of chemotherapeutic drugs to oncology patients, the CNS plans on presenting an overview of agents, classifications, and special precautions related to the safe handling and administration of these drugs.

1. What does the CNS describe as the goals of chemotherapy?
2. How should the CNS respond to the following question: “Why do patients require rounds of chemotherapeutic drugs, including different drugs and varying intervals?”
3. In teaching about the administration of chemotherapeutic agents, what signs of extravasation should the nurse include?
4. What clinical manifestations of myelosuppression, secondary to chemotherapy administration, should the CNS include in this program?

 

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Create a paper, power point, or Prezi presentation to demonstrate your knowledge of this week’s learning objectives. Your presentation should cover the following topic fully, and be correctly cited in APA format. Minimum 1 – 2 page paper or 10 slide presentation, not including your cover sheet/ slide and reference page/ slide.

You are approached by a neighbor and her 16 year old daughter who just found out she is pregnant. The neighbor and her daughter want to know what to expect during the pregnancy. Outline for this mother and daughter what to expect during each of the trimesters

Rubric

APA format is consistently done and correct.   All information is referenced throughout the body of the presentation. A   minimum of 3 relevant resources are used, and are cited correctly. Spelling   and grammar are correct throughout the body of the presentation.

 

Discussion of the physiological changes the woman may expect during   pregnancy during each trimester. (Not fetal development)

 

Discusses the major discomforts of pregnancy   and nursing measures to   reduce the discomforts

 

Discusses what to expect at doctor visits,   how often will she go, and what might she expect at the visits.

 

Discuss how much weight gain is appropriate   during pregnancy.

 

Discuss a minimum of three local resources that the young   woman may access for additional information and assistance. What do these   resources offer? Examples include local pregnancy care centers that offer   support for low income mothers, state resources, and federal resources.

 

Discuss how the placenta functions to   deliver nutrients and remove waste products.

The post Create a paper, power point, or Prezi presentation to demonstrate your knowledge of this week’s learning objectives. Your presentation should cover the following topic fully, and be correctly cited in APA format. Minimum 1 – 2 page paper or 10 slide presentation, not including your cover sheet/ slide and reference page/ slide. appeared first on Infinite Essays.