CONCEPT: CELLULAR REGULATION TOPIC: Cancer Mr. X is a 65-year-old…
Question Answered step-by-step CONCEPT: CELLULAR REGULATION TOPIC: Cancer Mr. X is a 65-year-old… CONCEPT: CELLULAR REGULATIONTOPIC: Cancer Mr. X is a 65-year-old man who went to his primary care provider’s office for a yearly examination. He initially reported having no health problems, however, on further questioning, he admitted to having some fatigue, abdominal bloating, and intermittent constipation. His physical examination findings were normal except for stool positive for occult blood. He had a complete blood count with differential (CBCD), basic metabolic panel (BMP), and carcinoembryonic antigen (CEA) testing and was referred to a gastroenterologist for a colonoscopy. Colonoscopy revealed a 5-cm mass in the sigmoid colon, which was diagnosed as adenocarcinoma of the colon. A distant metastatic workup is negative, and Mr. X is undergoing a laparoscopic sigmoidectomy with anastomosis. 1. Name 5 risk factors for colon cancer.A.B.C.D.E. 2, Outline the American Cancer Society’s current evidence-based screening procedures for persons at average risk for developing the following types of cancer:colorectal cancerlung cancerbreast cancercervical cancerprostate cancer 3. What are the warning signs of colon cancer? What are the common manifestations of colon cancer?A.B.C.D.E. 4. What is CEA? How does it relate to the diagnosis of colon cancer? 5. Identify the following biomarkers/tumor markers for each of the following types of cancer.prostate cancerbreast cancerliver cancerovarian cancerpancreatic cancer 6. The preoperative chart includes detailed instructions for a clear liquid diet, bowel preparation regimen with polyethylene glycol, and prescriptions for neomycin and metronidazole tablets. What is the purpose of taking neomycin and metronidazole? 7. Describe the rest of your preoperative teaching for Mr. X and his family? Mr. X’s surgical closure is uneventful, and he is discharged after 6 days. Based on the final pathology report, his cancer is designated stage IIIB. The cancer had spread to the muscle layer of the colon wall with 9 lymph nodes being positive. Four weeks after surgery, Mr. X is scheduled to begin 6 months of adjuvant chemotherapy. 8. List at least one assessment findings that would be of most concern in the first 24 hours after surgery.respiratory assessmentcardiac assessmentGI assessmentGU assessmentneurological assessmentwound/integumentary assessment 9. Describe 4 areas to cover in a discharge teaching plan for Mr. X before he goes home.A.B.C.D. Current chemotherapy protocols include varying doses of fluorouracil and leucovorin alone or in combination with oxaliplatin or irinotecan. 10. Discuss 7 major toxicities and side effects associated with chemotherapy.A.B.C.D.E.F.H. 11. What precautions should the nurse take when administering chemotherapy? 12. List at least 3 tasks that an assistive personnel (AP) can perform to a client who is receiving chemotherapy.A.B.C. 13. When prioritizing plan of care, which effects are the most serious (based on the one listed above – the 3 most serious)A.B.C. 14. When Mr. X’s white blood cell count begins to drop, what are the most important points to teach him to protect himself from infection?A.B.C.D.E. 15. Develop a teaching plan for Mr. X focusing on the common effects of diarrhea and nausea and vomiting. 16. What would you teach Mr. X to do to help manage fatigue?A.B.C. 17. You are concerned with Mr. X’s psychological status, particularly because he is expressing feelings of grief. Write a nursing outcome addressing this issue. Identify independent nursing actions that you would implement to provide him emotional support.A.B.C.D. Health Science Science Nursing NUR 450 Share QuestionEmailCopy link Comments (0)
