Mr.X is a 65-year-old man who went to his primary care provider's office for a yearly examination. He initially reported

[answerhappygod]

Mr X Is A 65 Year Old Man Who Went To His Primary Care Provider S Office For A Yearly Examination He Initially Reported 1 (59.69 KiB) Viewed 207 times

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. 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 musclepiayer of the colon wall with 9 lymph nodes being positive. Four weeks after surgery, Mr. X is scheduled to begin 6 months of adjutant chemotherapy. 1. List at least one assessment findings that would be of most concern in the first 24 hours after surgery A respiratory assessment B. cardiac assessment C. Gl assessment D. GU assessment E. neurological assessment F. wound/integumentary assessment 2. Describe 4 areas to cover in a discharge teaching plan for Mr.X before he goes home. A. B. Current chemotherapy protocols include varying doses of fluorouracil and leucoverin alone or in combination with oxaliplatin or Vinotecan 3 Discuss 7 major toxicities and side effects associated with chemotherapy B. D E F H 45