Nursing Discussion

Post your initial response to one of the scenarios below.
Male & Female Reproductive System
Using the Library, the Internet and your textbook, research the conditions affecting the male and female reproductive systems. As in all assignments, cite your sources in your work and provide references for the citations in APA format. You may use this APA Citation Helper as a convenient reference for properly citing resources or connect to the APA Style website through the APA icon below. 

Scenario 1:
Mrs. Smith is a 50 year old Caucasian woman who has 4 children ages 17, 15, 13, and 10. She was 33 with the birth of her first child. Her BMI is 25. She has no personal or family history of breast cancer. She lives with her husband in a suburban community. She is an elementary school teacher who is working part-time as a substitute so she can be home with her children. She has been healthy with no previous medical history. One year ago she noted a small palpable lump in her right breast about the size of an almond. Because she has been healthy she assumed it was nothing and ignored it. Over the last month she has noted that this lump has been increasing in size. Her health insurance would be expiring in the next month so she reluctantly decided to have a mammogram. She called for an appointment and they were unable to see her for another 2 months.
After waiting 2 months, her mammogram confirmed a 5 cm mass. She then had an ultrasound guided biopsy. This biopsy confirmed the presence of cancer cells. An additional biopsy confirmed the presence of cancer cells in 3 of her lymph nodes most proximal to the tumor.
·  What are the primary concerns for the patient right now? Why?
·  What are some of the expected medical surgical interventions?
·  What further assessment will be needed?
·  What pharmaceutical drugs are approved treatments for breast cancer patients?

Scenario 2:
Mr. B is a 77 year old African American man who complains of difficulty urinating.
·  What could be the underlying cause of these symptoms?
·  What are his risk factors?
·  What laboratory tests would be needed to confirm possible differential diagnoses?
·  What interventions would you expect?