MSN 277 (MSN277)

MSN 277 MedSurg Notes on "Cancer" with Dr. Bachmeier at Loyola Chicago

A 24 year old female patient with SLE tells the nurse she wants to have a baby and is considering getting pregnant. Which response by the nurse is most appropriate? A. "Temporary remission of your signs and symptoms are common during pregnancy." B. "SLE symptoms usually peak during the first trimester." C. "Autoantibodies transferred to the baby during pregnancy will cause congenital heart defects." D. "The best time to plan pregnancy is during a remission when the symptoms are ...

Surgery correct answer: ○ Sometimes surgery might be enough but there are limitations ○ Considered a local therapy ○ Diagnosis ○ Cure ■ Different surgeries to help cure Palliative correct answer: ■ Option for palliation ■ Max for quality of life and relieving symptoms for those with terminal disease like cancer ■ Ex. large tumor compressing nerve and have chronic name ● Palliative surgery is an option for that patient Prevention correct answer: ■ Removal of mo...

Type I DM correct answer: 3p's Type II DM correct answer: Insulin resistance Pancreas has decreased insulin production Inappropriate glucose production by liver Altered production of hormones/cytokines Nonspecific symptoms: fatigue, infections, delayed wound healing, visual changes Metabolic syndrome correct answer: Abdominal obesity >40in >35in Triglycerides >150 HDLs <40 <50 BP >130/85 Fasting glucose >110 How to diagnosis DM correct answer: H...

Type I DM correct answer: 3p's -polyphagia -polydipsia -polyuria Type II DM correct answer: Insulin resistance Pancreas has decreased insulin production Inappropriate glucose production by liver Altered production of hormones/cytokines Nonspecific symptoms: fatigue, infections, delayed wound healing, visual changes Metabolic syndrome correct answer: Abdominal obesity >40in >35in Triglycerides >150 HDLs <40 <50 BP >130/85 Fasting glucose >110 ...

What is nursing presence? correct answer: multidimensional unified whole, fluidly existing in the cognitive, affective, behavioral, and spiritual experiential domains all at once - nurses wear many hats and we must be prepared to use these different types of presence in different situations experienced by invitation only, meaning the patient must invite the nurse to be present with him or her "doing for" and "being with" - doing for is doing what nurses do i.e. medications, pain add...

Diabetes prevalence correct answer: - leading cause in blindness, end stage renal disease, and amputations Diabetes is a major contributing factor to: correct answer: heart disease and stroke Pathophysiology Type 1 Diabetes correct answer: - autoimmune disorder - not enough insulin for the person to survive - manifestations occur when the body is unable to make enough insulin to maintain normal glucose levels - absence of endogenous insulin type 2 diabetes correct answer: - com...

What are the integumentary clinical manifestations of anemia? correct answer: - pallor r/t decreased Hgb & decreased blood flow - jaundice r/t hemolysis of RBCs which leads to increased concentration of bilirubin - pruritus r/t bile concentrations on skin What are the cardiovascular clinical manifestations of anemia? correct answer: - palpitations - tachycardia - systolic murmur and bruits - angina/MI - HF What are the GI clinical manifestations of anemia? correct answer: - an...

Diabetes diagnosis: Hemoglobin A1C correct answer: >6.5% Diabetes Diagnosis Fasting Plasma Glucose correct answer: > = to 126 mg/ dl Hemoglobin A1C correct answer: Shows amount of glucose attached to hemoglobin molecules over RBC life span -90 to 120 days should be less than 7. Goals of diabetes management correct answer: -decrease symptoms -promote well- being -prevent acute complications -delay onset and progression of long term complications Diabetes Goals correct...

(rheumatic) A 24 year old female patient with SLE tells the nurse she wants to have a baby and is considering getting pregnant. Which response by the nurse is most appropriate? A. "Temporary remission of your signs and symptoms are common during pregnancy." B. "SLE symptoms usually peak during the first trimester." C. "Autoantibodies transferred to the baby during pregnancy will cause congenital heart defects." D. "The best time to plan pregnancy is during a remission when the s...