C.J a 49 year old construction worker is scheduled for a bronchoscopy for biopsy of a right lung session.He initially sought medical care for hemoptysis and increasing fatique.When the nurse asked him to sign the operative permit,he stated that he was not certain if he should go ahead with the procedure because he fears a diagnosis of cancer. Subjective Data Has never been hospitalized Has had no medical problems except mid obesity Has cigarette smoking history of 40 pack years Is married with two children,ages 6&8 both children have cystic fibrosis Is fearful that his wife not be able to manage without him Objective data Diagnosuic studies :chest x-ray revealed mass in upper lobe of right lung Hematrocrit:31% What factors in C.J. background or personal situation might influence his emotional response and physical reactions to this surgery? What should C.J. know if his consent for surgery is to be truly informed? Priority Decision: C.J. will be an outpatient for this procedure.What is the priority preoperative teaching that should be done to prepare him for surgery? What risk factors for surgical and anesthetic complications might you anticipate for C.J.? what are the potential interventions that might minimize the risks? Priority Decision:Based on the assessment data provided,what are the priority nuraing diagnosis? Are there any collaboration problems?

Phlebotomy Essentials

6th Edition

ISBN:9781451194524

Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Chapter1: Phlebotomy: Past And Present And The Healthcare Setting

Section: Chapter Questions

Problem 1SRQ

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C.J a 49 year old construction worker is scheduled for a bronchoscopy for biopsy of a right lung session.He initially sought medical care for hemoptysis and increasing fatique.When the nurse asked him to sign the operative permit,he stated that he was not certain if he should go ahead with the procedure because he fears a diagnosis of cancer. Subjective Data Has never been hospitalized Has had no medical problems except mid obesity Has cigarette smoking history of 40 pack years Is married with two children,ages 6&8 both children have cystic fibrosis Is fearful that his wife not be able to manage without him Objective data Diagnosuic studies :chest x-ray revealed mass in upper lobe of right lung Hematrocrit:31% What factors in C.J. background or personal situation might influence his emotional response and physical reactions to this surgery? What should C.J. know if his consent for surgery is to be truly informed? Priority Decision: C.J. will be an outpatient for this procedure.What is the priority preoperative teaching that should be done to prepare him for surgery? What risk factors for surgical and anesthetic complications might you anticipate for C.J.? what are the potential interventions that might minimize the risks? Priority Decision:Based on the assessment data provided,what are the priority nuraing diagnosis? Are there any collaboration problems?

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