The urologist discusses possible treatment options with A.B. Identify three treatment options
for prostate cancer.
Watchful waiting: This involves simply monitoring A.B.'s condition and intervening if symptoms
become troublesome.
Brachytherapy: Radioactive seeds are implanted in the prostate (these people have irritative voiding
symptoms [frequency] for months after the procedure), or external beam radiation can be used.
Hormone therapy: A PSA is drawn and medications are given based on PSA levels. In some patients,
medications are given to shrink the tumor before surgery.
Chemotherapy: Systemic cytotoxic chemotherapy might be done for patients whose cancer has
metastasized.
Surgery: There are two surgical procedures:
• Laparoscopic radical prostatectomy is a minimally invasive, robot-assisted procedure. Benefits
include a decreased hospital stay (1 to 2 days), smaller incisions, less postoperative discomfort,
decreased time for the indwelling urinary catheter, and faster recovery. In addition, there are
nerve-sparing advantages.
• Radical open prostatectomy: The patient might have blood loss during surgery and incontinence
and erectile dysfunction postoperatively.
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You are an oncology nurse and have just begun infusion of a patient's first dose of doxorubicin (Adriamycin) for the treatment of the patient's soft-tissue sarcoma
Shortly after beginning the infusion, the patient complains of pain at the infusion site, which is now swollen and reddened, and the IV pump has alarmed with a report of occlusion. As a result, you suspect extravasation. What action should you prioritize? A) Stop the infusion and remove the patient's IV cannula. B) Slow the infusion and take the patient's vital signs. C) Discontinue the infusion and infuse a flush of normal saline. D) Stop the infusion and aspirate from the patient's IV line.
Individuals who snort cocaine are likely to experience which problem?
a. cheilosis c. perforation of the nasal septum b. nasopharyngeal cancer d. infection from herpes simplex virus I
A nurse is providing preconception counseling to a healthy woman and her husband, who has hemophilia A. They are very concerned about passing the disorder on to their children. What should the nurse consider before addressing this concern?
Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. Hemophilia A is diagnosed in men and women in equal numbers. 2. The daughters produced by this union will be carriers of the disorder. 3. The sons of this union will have hemophilia A. 4. The daughters of this union will have a 50% chance of passing hemophilia A on to their daughters. 5. None of the children of this union will manifest hemophilia A.
A resident has an IV in his right arm. He wears a standard gown. He has an IV pump. Which is correct?
a. Put his gown on the right arm first and then on the left arm. b. Put his gown on the left arm first and then on the right arm. c. His right arm is not put through the sleeve of the gown. d. The gown is put on so the ties are in the front.