Case study nsg 6020 | Nursing homework help

Case study 

Use  references in the last 5 years

Plagiarism receipt requires.

Mrs. Whitney
Oncology/breast CA
45-year old black American female in the hospital. Married mother of two children, ages 10 and 12 years old.
Client Profile
 
Mrs. Whitney is a 45-year-old woman who noticed a lump in her left breast during her monthly breast self-exam two weeks ago. She made an appointment with her gynecologist who documents “a fixed round lump with irregular borders palpated in the upper outer quadrant of left breast at 2:00. Left axillary edema noted. There is symmetry of the breasts with no puckering or nipple discharge. The client denies pain.” Mrs. Whitney began having her menstrual period at 10 years of age. She has 2 children, both of whom she breastfed for approximately twelve months. Mrs. Whitney’s oldest sister died of breast cancer. Mrs. Whitney has a diagnostic mammogram and a fine needle
aspiration biopsy. It is determined that she has stage II breast cancer.
 
Case study
Mrs. Whitney will have a lumpectomy with lymph node dissection (partial mastectomy). A Jackson Pratt (JP) drain will be in place postoperatively. Following surgery, tamoxifen is prescribed. 

Questions:
1.  Discuss the best time of the month to perform breast self-examination (BSE).

 2.  What factors placed Mrs. Whitney at greater risk for the development of breast cancer? Discuss the risk factors associated with Mrs. Whitney’s ethnicity. 

3.  Briefly discuss the relationship between breastfeeding and Mrs. Whitney’s risk of breast cancer. 

4.  Discuss the priority nursing intervention prior to Mrs. Whitney’s biopsy and immediately following diagnosis.

 5.  The nurse is teaching Mrs. Whitney how to use an incentive spirometer (IS). How will the nurse tell Mrs. Whitney to use the IS and what will the nurse explain as the rationale for IS use postoperatively?

 6.  Mrs. Whitney is discharged from the post-anesthesia care unit (PACU) following her lumpectomy and lymph node dissection. Now that she is in your care on the nursing unit, discuss what you will assess. 

7.  Identify five postoperative nursing diagnoses to consider for
Mrs. Whitney. List the diagnoses in order of priority.

 8.  The nurse hangs a sign above Mrs. Whitney’s bed to alert other member of the health care team about interventions to maintain Mrs. Whitney’s safety and prevent complications of her surgery. Discuss what the sign should say.

 9.  The nurse gives Mrs. Whitney contact information of “Reach for Recovery.” Discuss the support services available through this program. 

10.  Mrs. Whitney is going home today. The nurse is teaching her about possible complications of her surgery. Explain what lymphedema is, the chances of developing lymphedema, and its manifestations. Identify at least two other complications the nurse will include in the discharge teaching.

 11.  Discuss why tamoxifen is prescribed as part of Mrs. Whitney’s treatment plan. 

12.  Mrs. Whitney asks about the adverse effects of tamoxifen. Create a list of the possible common and potentially life threatening adverse effects of this medication. What instructions should you include regarding sexual activity. 

Order a unique copy of this paper
(550 words)

Approximate price: $22

Basic features
  • Free title page and bibliography
  • Unlimited revisions
  • Plagiarism-free guarantee
  • Money-back guarantee
  • 24/7 support
On-demand options
  • Writer’s samples
  • Part-by-part delivery
  • Overnight delivery
  • Copies of used sources
  • Expert Proofreading
Paper format
  • 275 words per page
  • 12 pt Arial/Times New Roman
  • Double line spacing
  • Any citation style (APA, MLA, Chicago/Turabian, Harvard)

Our guarantees

Delivering a high-quality product at a reasonable price is not enough anymore.
That’s why we have developed 5 beneficial guarantees that will make your experience with our service enjoyable, easy, and safe.

Money-back guarantee

You have to be 100% sure of the quality of your product to give a money-back guarantee. This describes us perfectly. Make sure that this guarantee is totally transparent.

Read more

Zero-plagiarism guarantee

Each paper is composed from scratch, according to your instructions. It is then checked by our plagiarism-detection software. There is no gap where plagiarism could squeeze in.

Read more

Free-revision policy

Thanks to our free revisions, there is no way for you to be unsatisfied. We will work on your paper until you are completely happy with the result.

Read more

Privacy policy

Your email is safe, as we store it according to international data protection rules. Your bank details are secure, as we use only reliable payment systems.

Read more

Fair-cooperation guarantee

By sending us your money, you buy the service we provide. Check out our terms and conditions if you prefer business talks to be laid out in official language.

Read more

Calculate the price of your order

550 words
We'll send you the first draft for approval by September 11, 2018 at 10:52 AM
Total price:
$26
The price is based on these factors:
Academic level
Number of pages
Urgency