(^506) Medical-Surgical Nursing Demystified
HALLMARK SIGNS AND SYMPTOMS
- Abnormal bleeding
- Abnormal Pap test (not diagnostic but begs a further work-up)
INTERPRETING TEST RESULTS
- Pap test.
- Endometrial biopsy.
- Endocervical curettage.
- Ca-125.
TREATMENT
- Surgery initially for staging and to remove the tumor—usually hysterectomy,
bilateral salpingo-oophorectomy, biopsy of nodes. - Radiation.
- Hormone therapy:
- progestins
- Chemotherapy used for cancers that recur outside the pelvis:
- doxorubicin
- cisplatin
- ifosphamide
NURSING DIAGNOSES
- Anticipatory grieving
- Body image disturbance
- Sexual dysfunction
NURSING INTERVENTIONS
- Check vaginal bleeding.