Concept
Cellular regulation is essential to the immune response, during which numerous substances are released and white blood cell (WBC) production increased. Infection is one condition that triggers the immune response. Impaired cellular regulation may alter the immune response and increase the individual’s susceptibility to infection.
How does impaired cellular regulation influence a client's susceptibility for infection?
Hematuria, back pain, bilateral lower extremity weakness, fatigue are some of the symptoms of prostate cancer.
What are symptoms of Prostate Cancer?
Bladder spasms following prostatectomy
Other medications on the market now include Myrbetriq (mirabegron) and VESIcare (solifenacin).
What is the medication Ditropan used for?
Empty your colostomy bag when it becomes 1/3 to 1/2 full.
What teaching is required for colostomy care education?
Erectile dysfunction
Bowel obstruction
Urinary incontinence
Proctitis, cystitis, diarrhea
What complications can occur after having radiation for prostate cancer?
Physical and emotional stress can lead to oxidative stress (OS), which causes an increased production of free radicals. Free radicals are believed to increase an individual’s risk for development of disease and illness.
What is the relationship between poor coping abilities and disorders of cellular regulation?
Rectal bleeding, pain, a palpable mass, weight loss
What are some symptoms of colon-rectal cancer?
Androgens
Prostate cancer cannot grow or thrive without androgens, which include testosterone and others.
What is a therapy used for prostate cancer? This is also called ________ deprivation therapy.
Dysfunctional GI Motility
Excrement may smell of fish
Oil from potato chips may cause excess gas, cramping
Why would the following diet plan need follow-up from the nurse: cod fish sandwich, potato chips, and a pickle spear?
Bowel obstruction
Cancer returning following surgery
Cancer metastasis
What complications can occur following treatment for colon cancer?
Safety concerns for a client with a disorder related to impaired cellular regulation may include protecting the client from injuries related to impaired oxygenation, especially if the client’ red blood cells (RBCs) or hemoglobin (Hgb) are affected. If the client’s platelets are affected, safety concerns include protection from injury related to increased bleeding tendencies. Preventing infection is a concern, especially for clients with impaired white blood cell (WBC) production or function.
Identify three safety concerns specific to the client with a disorder related to impaired cellular regulation.
Erectile dysfunction
What symptom can be seen following surgery or after taking hormone therapy for prostate cancer?
Megace (megestrol)
What medication is used in advanced prostate cancer to help with hot flashes?
Risk for Ineffective Coping. Many people still believe that the diagnosis of cancer is fatal.
What nursing diagnosis would the student nurse add on the concept map for the client hearing for the first time his/her need for an ileostomy?
Tissue catabolism
(Ensure the client receives enough protein and essential fats to maintain their muscle tissue and hormone levels.
This can be accomplished via Total Parenteral Nutrition.)
What is the wasting away of lean body tissue?
Workplace exposure to antineoplastic agents is believed to be a risk factor for the development of cancer and other conditions. Reproductive effects associated with exposure to these medications include spontaneous abortion, birth defects, and infertility. Healthcare team members who handle these medications—including certain pharmacists and nurses—are urged to adhere to all regulations, guidelines, and protocols relevant to their safe handling.
How does cancer diagnoses impact the healthcare system?
These exercises can help strengthen the muscles around the prostate and help prevent urinary incontinence.
How can Kegel exercises help the client following prostatectomy?
IV fluorouracil (5-FU)
folinic acid (leucovorin)
What chemotherapeutic agents can be used to fight colon cancer?
When planning care for an older male with prostate cancer and having surgery, the student nurse would review his medications for other disease processes, medications, and assessment. The student nurse would want to include the assessment of monitoring the postural blood pressure of this client.
How would the student nurse care for a client with hypertension and taking blood pressure medication in preparing them for prostate surgery?
Pain
What can the student nurse address related to procedures, examinations, surgical interventions, dressing changes, etc. for the client diagnosed with cancer?
Recommendations issued by Healthy People reflect the belief that disease prevention is more cost-effective than disease treatment. For many clients with cancer, treatment is a lengthy, expensive process. Decreasing the incidence of cancer would lead to a reduction in treatment-related costs, including those unreimbursed expenses that are absorbed by the healthcare system.
Describe the importance of reducing cancer-causing lifestyle choices (as suggested by the federal government’s Healthy People 2020 program) to reducing costs within the healthcare system.
Bleeding following prostatectomy can occur.
Why would irrigating the Foley or suprapubic catheter be ordered after prostatectomy?
Colostomy
What is the surgical intervention for colon cancer to aid in diversion of fecal contents caused by obstruction by a tumor; a temporary or permanent measure to promote healing?
1. You may have a Foley catheter or a suprapubic catheter for several days to weeks.
2. You may be ordered spasm prevention medication post-op.
3. You may have a T-Tube drain after surgery.
4. Erectile dysfunction may result.
5. You may have urinary incontinence.
What would pre-op instructions for a prostatectomy include?
Chronic inflammation
What is the current thought regarding cancer?