clinical situationFourth: 100APatient: Martina BounAge: 30 yearsDiagnosis: Suspicion of metastasis i

clinical situationFourth: 100APatient: Martina BounAge: 30 yearsDiagnosis: Suspicion of metastasis in both breasts with extension to axillary lymph nodeshistorical:A 45-year-old female client goes to the emergency room for a sonomammogram ordered by her primary care physician. Among the subjective data, the young mother indicates that she has noticed nipple retraction for more than a month and changes in breast size. When performing the rigorous physical examination, she noted that her skin was generally dry and several bruises on her abdomen and legs. Her skin is hot to the touch. Good hygiene is observed. When exploring the breasts, retraction of the nipple of the right breast is observed. The symmetry of the right breast is disproportionate. An inflamed nodule is observed in the right axilla, hard on palpation, 3 mm wide. She reports that she showed these changes a month ago. In turn, the patient indicates that she has itching in her right breast. During palpation of the breast, she reports the level of pain presented is intense, 8 out of 10 on the pain scale. The level of consciousness is alert. She states that her wish is that, if she has cancer, she does not accept any aggressive treatment, since she suffered a lot during her past cancer diagnosis. Her daughters are depressed and demand that they intervene with the state of denial of the mother.Vital signs on admission were: T=102.4° F, BP=140/88, P=110, and R=24.Past history: 3 years ago CA of womb, total hysterectomyHistorical present: Suspicion of sinus AC with lymphatic system metastasis.Family history: Mother CA breast alive. Father died of myocardial infarction. She is survived by a brother who is healthy.Present diagnoses: Deep vein thrombosis. Questions: What are the ethical-legal responsibilities of the nursing professional in charge?What multidisciplinary staff could be integrated to work with this situation?What requirement of the medical record in your work area is essential to document according to the clinical situation?Health ScienceScienceNursing NURS 3015 Share QuestionEmailCopy linkComments (0)

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