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Assignment:
Breast Cancer Patient Scenario
The nurse is caring for a 66 year post-menopausal female. She was diagnosed with stage 2B breast cancer, (HER2 positive). The client and her oncologist have opted targeted chemo and a wide excision mastectomy with a sentinel lymph node dissection, followed by radiation. She has a history of cardiac disease and has had an MI with stents. The HCP has ordered cardiac testing prior to the chemotherapy. The client has been scheduled for a port placement prior to treatment.
QUESTION a. The client asks the nurse why she is going for a central port prior to treatment. How would the nurse explain the benefits of a central line for the client? What risks do they pose?
QUESTION b. The client asks why Trastuzumab (Herceptin) is being prescribed and why cardiac testing has been ordered. How would the nurse respond to this question?
QUESTION c. The client goes into the infusion center and gets blood drawn her labs are.
WBC 1800, Hemoglobin 7.2 ,platelet count 50000.
What complications can occur with each to these labs and state one nursing intervention with each problem?
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