is a 50-year-old woman whose routine mammogram showed a 2.3 x 4.5 cm lobulated mass at the 3:00 position in her left breast. underwent a…

Question Answered step-by-step M.D. is a 50-year-old woman whose routine mammogram showed a 2.3 x4.5 cm lobulated mass at the 3:00 position in her left breast. M.D. underwent a stereotactic needle biopsy and was diagnosed with infiltrating ductal carcinoma that was both estrogen and progesterone receptor positive. The staging workup was negative for distant metastasis. Her final staging was stage IIB. She had a modified radi- cal mastectomy with lymph node dissection. The sentinel lymph node and 11 of 16 lymph nodes were positive for tumor cells. An implanted port was placed during surgery. She is prescribed a chemother- apy regimen of six cycles of CAF (cyclophosphamide [Cytoxan], fluorouracil [5-FU], and doxorubicin [Adriamycin]).  -Describe the biopsy technique used to diagnosis M.D.’s cancer. -Discuss the implications of a positive sentinel node. -Using the TNM staging system, what would her classification be? -What is the significance of her hormone receptor status? -Surgical intervention is the primary treatment for breast cancer. Describe the surgical procedure that M.D. had. -M.D. asks you why she has to have chemotherapy with so many drugs if the surgeon removed all of the cancer. How would you respond? -Compare the drug actions of cyclophosphamide (Cytoxan), fluorouracil (5-FU), and doxorubicin (Adriamycin). -List any side effects and special considerations associated with the use of CAF. -M.D. is ordered doxorubicin at 75 mg/m2. Her height is 5 feet, 7 inches, and her weight is 155 pounds. Calculate the dose she will receive. -You have finished teaching M.D. regarding the effects of CAF. You know that she understands instructions regarding cyclophosphamide (Cytoxan) when she states:a.   “This medication should be taken with food”b.   “I will drink 2000 to 3000 mL of fluids each day”c.   “Taking this drug at nighttime will reduce nausea”d.   “I will increase my intake of foods with potassium” Health Science Science Nursing NUR 112 Share QuestionEmailCopy link Comments (0)