Medical-surgical Nursing Demystified

(Sean Pound) #1

CHAPTER 14 Women’s Health^513



  • Dyspnea due to pressure from the diaphragm from an enlarging tumor

  • Ascites—abnormal abdominal fluid


INTERPRETING TEST RESULTS



  • An elevated CA-125 indicates a tumor may be malignant.

  • Transvaginal ultrasound for detection of disease.


TREATMENTS



  • Treatment depends on the staging at diagnosis.

  • Surgical staging is necessary.

  • Complete abdominal hysterectomy, with bilateral salpingo-oophorectomy,
    omentectomy, and node dissection.

  • Complete removal of all visible tumor and metastasis-debulking.

  • Chemotherapy:

    • cisplatin

    • carboplatin

    • paclitaxel



  • Radiation.


NURSING DIAGNOSES



  • Ineffective breathing pattern

  • Hopelessness

  • Anxiety


NURSING INTERVENTIONS



  • Monitor CBC to check anemia.

  • Check vaginal bleeding.

  • Check incision site.

  • Abdominal assessment—check for bowel sounds, distention.

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