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...

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