A nurse is conducting a nursing assessment for a client with Osteosarcoma.
Which assessments should the nurse perform? Select all that apply.

Choice A rationale:

Osteosarcoma arises from mature bone-forming cells called osteocytes.

Rationale: This statement is not accurate.

Osteosarcoma does not originate from osteocytes.

Instead, it arises from osteoblasts, which are immature bone-forming cells.

Genetic mutations can lead to uncontrolled proliferation of osteoblasts, contributing to the development of Osteosarcoma.

Choice B rationale:

Genetic mutations leading to uncontrolled proliferation of osteoblasts contribute to Osteosarcoma.

Rationale: This statement is accurate.

Osteosarcoma is characterized by genetic mutations that cause osteoblasts to multiply uncontrollably, resulting in the formation of malignant bone tumors.

This is a key aspect of the disease's pathophysiology.

Choice C rationale:

Osteosarcoma typically starts in the epiphyseal region of long bones.

Rationale: This statement is not accurate.

Osteosarcoma usually begins in the metaphyseal region of long bones, not the epiphyseal region.

The metaphysis is the area of the bone where growth occurs, making it more susceptible to malignant changes.

Choice D rationale:

The tumor primarily extends into the muscle tissues surrounding the bone.

Rationale: This statement is not accurate.

Osteosarcoma primarily affects the bone itself, with the tumor originating within the bone tissue.

While it can extend into nearby soft tissues, such as muscles, it does not primarily start in muscle tissues.

Choice A rationale:

Administering chemotherapy as prescribed is an appropriate nursing intervention for a patient with Osteosarcoma.

Chemotherapy is a standard treatment modality for Osteosarcoma, aimed at reducing the size of the tumor, preventing metastasis, and improving the overall prognosis.

The nurse should ensure that chemotherapy is administered according to the physician's orders and monitor the patient for any adverse effects.

Choice C rationale:

Monitoring for signs of infection in surgical incisions is essential in the care of Osteosarcoma patients who have undergone surgery.

Surgical incisions can be a potential source of infection, and early detection and management of infections are crucial for the patient's recovery.

This nursing intervention helps prevent complications and ensures the patient's safety.

Choice E rationale:

Collaborating with occupational therapists for rehabilitation is a valuable nursing intervention for patients with Osteosarcoma.

Occupational therapy can help patients regain functional independence and improve their quality of life after surgery or treatment.

It focuses on activities of daily living and enhancing the patient's physical and emotional well-being.

Choice B rationale:

Providing emotional support to the family is an important aspect of holistic care, but it is not a specific nursing intervention for Osteosarcoma patients.

Emotional support is valuable but should be provided in conjunction with other nursing interventions that directly address the patient's physical and emotional needs.

Choice D rationale:

Offering cold therapy for pain relief is not a standard nursing intervention for Osteosarcoma patients.

Pain relief in Osteosarcoma is primarily achieved through the administration of analgesics and other pain management strategies.

Cold therapy may be used in some cases for localized pain relief, but it is not a universal intervention for all Osteosarcoma patients.