Medical-surgical Nursing Demystified

(Sean Pound) #1

(^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.

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