Renal Cancer Overview and Management
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Questions and Answers

What is the primary site affected by renal cancer?

  • Adrenal gland
  • Cortex or pelvis of kidney (correct)
  • Ureter
  • Bladder
  • Which of these is NOT a risk factor for renal cancer?

  • Family history
  • Tobacco use
  • Obesity
  • Regular exercise (correct)
  • What is one of the clinical manifestations of renal cancer?

  • Shortness of breath
  • Chest pain
  • Flank mass (correct)
  • Nausea and vomiting
  • Which imaging technique is commonly used for diagnosing renal cancer?

    <p>CT scan</p> Signup and view all the answers

    Which nursing diagnosis is relevant for a patient with renal cancer?

    <p>Acute pain</p> Signup and view all the answers

    What is a common postoperative concern following a radical nephrectomy?

    <p>Pink-tinged urine</p> Signup and view all the answers

    Which nursing intervention is essential after renal surgery?

    <p>Administer pain medication as ordered</p> Signup and view all the answers

    Which of the following is a potential complication of renal cancer?

    <p>End-stage renal failure</p> Signup and view all the answers

    Which of the following is a risk factor associated with renal cancer?

    <p>Tobacco use</p> Signup and view all the answers

    What is a common symptom caused by the compression of renal tissues in renal cancer?

    <p>Flank mass</p> Signup and view all the answers

    Which medication management approach is mentioned for renal cancer?

    <p>Biological immunotherapy</p> Signup and view all the answers

    In nursing management, which vital sign should be regularly assessed postoperatively for a patient who has undergone radical nephrectomy?

    <p>Blood pressure</p> Signup and view all the answers

    Which of the following actions is important in nursing interventions for a patient post-radical nephrectomy?

    <p>Perform postoperative assessments</p> Signup and view all the answers

    Study Notes

    Renal Cancer

    • 63,000 new cases in the US per year.
    • Risk factors
      • Tobacco use
      • Family history
      • Obesity
      • Hypertension
      • Exposure to carcinogens
    • Usually found in the cortex or pelvis of the kidney
    • Can compress underlying tissues, leading to decreased circulation and damage
    • May lead to renal failure
    • Clinical manifestations
      • Flank mass
      • Flank pain
      • Hematuria
      • Weight loss
      • Fatigue
      • Hypertension
      • Fever not related to infection
      • Anemia
    • Medical management
      • Diagnosis
        • Ultrasound
        • Angiography
        • Percutaneous needle aspiration
        • CT scan
        • MRI
      • Medications
        • Biological Immunotherapy
    • Surgical management
      • Radical nephrectomy
      • Post-operative considerations:
        • Expect to be in pain
        • Pink-tinged urine
        • Drains
    • Complications
      • Pain
      • End-stage renal failure
    • Nursing management
      • Assessment and analysis
        • Symptoms caused by the size of the mass and compression of renal tissue
      • Nursing diagnoses
        • Acute pain
        • Impaired urinary elimination
        • Ineffective therapeutic regimen management
      • Nursing interventions
        • Assessments
          • Vital signs
          • Pain
          • Preoperative assessment
          • Postoperative assessment
        • Actions
          • Administer medications as ordered
          • Postoperative
            • Administer pain medication as ordered
            • Administer IV hydration as ordered/encourage oral hydration as ordered
            • Encourage respiratory exercises
            • Appropriate care of catheters, stents, nephrostomy tubes, or drains
            • Perform wound care as ordered
        • Teaching
          • Diagnosis
          • Procedures or diagnostic tests
          • Medication education
          • Resources
      • Evaluating care outcomes
        • Pain control
        • Clean incision
        • Adequate elimination
        • Free from blood or signs of infection

    Epidemiology of Renal Cancer

    • Approximately 63,000 new cases of renal cancer are diagnosed in the US every year.

    Risk Factors for Renal Cancer

    • Tobacco use
    • Family history of renal cancer
    • Obesity
    • Hypertension
    • Exposure to carcinogens

    ### Pathophysiology of Renal Cancer

    • Usually originates in the cortex or pelvis of the kidney
    • Can compress surrounding tissues, leading to decreased blood circulation and damage
    • Can result in renal failure

    Clinical Manifestations of Renal Cancer

    • Flank mass
    • Flank pain
    • Hematuria
    • Weight loss
    • Fatigue
    • Hypertension
    • Fever unrelated to infection
    • Anemia

    Diagnosis of Renal Cancer

    • Ultrasound
    • Angiography
    • Percutaneous needle aspiration
    • CT scan
    • MRI

    Medical Management of Renal Cancer

    • Biological immunotherapy

    Surgical Management of Renal Cancer

    • Radical nephrectomy (removal of the kidney)
    • Post-surgical expectations:
      • Pain
      • Pink-tinged urine
      • Drains

    Complications of Renal Cancer

    • Pain
    • End-stage renal failure

    Nursing Assessments for Renal Cancer

    • Vital signs
    • Pain assessment
    • Preoperative assessment
    • Postoperative assessment

    Nursing Diagnoses for Renal Cancer

    • Acute pain
    • Impaired urinary elimination
    • Ineffective therapeutic regimen management

    Nursing Interventions for Renal Cancer

    • Medication administration:
      • As ordered
    • Postoperative care:
      • Pain medication administration as ordered
      • IV hydration or encouragement of oral hydration as ordered
      • Respiratory exercises
      • Appropriate care of catheters, stents, nephrostomy tubes, or drains
      • Wound care as ordered

    Nursing Education for Renal Cancer

    • Diagnosis
    • Explanation of procedures or diagnostic tests
    • Medication education
    • Information about available resources

    Evaluating Care Outcomes for Renal Cancer

    • Pain control
    • Clean incision
    • Adequate urinary elimination
    • Absence of blood or signs of infection

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    Description

    This quiz covers essential information about renal cancer, including its risk factors, clinical manifestations, and management strategies. Participants will learn about diagnosis techniques, medical treatments, and surgical approaches related to renal cancer. Gain insights into the complications and nursing management essential for patient care.

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