(^390) Medical-Surgical Nursing Demystified
- Control blood pressure.
- Control blood glucose levels.
NURSING DIAGNOSIS
- Impaired urinary elimination
- Ineffective tissue perfusion (renal)
- Fear
NURSING INTERVENTIONS
- Monitor vital signs for changes in heart rate or blood pressure.
- Monitor intake and output.
- Assess intravenous site for redness, swelling, or pain.
- Check dialysis access site for signs of infection.
- Check AV shunt for thrill (palpable turbulence of bloodflow; gently feel for
flow of blood through shunt) and bruit (audible turbulence of bloodflow;
listen with stethoscope for sound of bloodflow through shunt). - No contrast dye tests.
- No nephrotoxic medication.
- Monitor patient very closely.
Testicular Cancer
WHAT WENT WRONG?
Cancer involving the testicle typically occurs in males in their teens or twenties.
The cancer is hormonally dependent and tends to metastasize fairly quickly to
lungs or to bone. A painless nodule may be found by the patient. There is an
increased incidence in patients with a history of cryptorchism.PROGNOSIS
Prognosis is better for patients with solitary nodules that have not had a chance to
metastasize. Tumors that have already metastasized to other locations have a9