Clinical expectations: Concept Map which consists of: 1 nursing diagnosis 1 Goal 3 Nursing interventions with rationale Evaluation Completed medication cards
R.T. is a 64-year-old man who went to his primary care provider's office for a yearly examination. He initially reported having no new health problems; however, on further questioning, he admitted to having developed some fatigue, abdominal bloating, and intermittent constipation. His physical examination was normal except for a stool positive for guaiac. R.T. was referred to a gastroenterologist for a colonoscopy. A 5-cm mass found in the sigmoid colon was diagnosed as an adenocarcinoma of the colon. The pathology report described the tumor as a Dukes’ stage B, meaning cancer extends into the muscle or connective tissue and invades adjacent organs and lymph nodes. A distant metastatic workup is negative, and R.T. is being referred for surgery.
Vital Signs BP: 148/82, R: 89, R: 20, T: 99° F
.Lab Results: CBC wnl, BMP wnl and carcinoembryonicantigen (CEA) 4.7
Medications: Morphine IV, leucovorin (folinic acid) 10 mg IM, and irinotecan (Camptosar) injectionMarcia
Clinical expectations:
Concept Map which consists of:
1 nursing diagnosis
1 Goal 3 Nursing interventions with rationale
Evaluation Completed
medication cards
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