NUR MISC Colon Cancer Case Study ALL ANSWERED QUESTIONS

NUR IMISC




CaseStudy 91 Colon Cancer
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1. What is a risk factor? I I I I



A risk factor is anything that statistically increases your chances of get-
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ting a particular disease or condition. In this case, the disease is most
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common in people over the age of 50, and the chance of getting col-
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orectal cancer increases with each decade. Colorectal cancer is also
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common with men.
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2. Identify six risk factors for colon cancer. I I I I I I



• Being Ioverweight Ior Iobese
• Physical Iinactivity
• Smoking
• Heavy Ialcohol Iuse
• Being Iolder
• A I personal I history I of I inflammatory I bowel I disease.
• Age Iover I50 Iyears
• Personal Ihistory I of I colon I polyps I or Icolon I cancer
• Cancer I elsewhere I in I the I body
• Immunodeficiency Idisease


3. Outline the American Cancer Society's current evidence-
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based screening procedures for colon cancer.
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• Annual I digital Irectal Iexamination Ifor Iall Ipeople Iover Iage I50

• Annual I guaiac I testing I for I occult I fecal I blood I for I people I over I age I50

• Flexible Isigmoidoscopy., Idouble Icontrast Ibarium Ienema, Ior ICT
colonography (virtual colonoscopy) every 5 years; or colonoscopy of
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every 10 years if results of sigmoidoscopy are positive
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, 4. What are the warning signs of colon cancer? Place a star
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next to those that R.T. has.
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• Rectal Ibleeding

• Cramping I pain I in I lower I abdomen

• Abdominal I distention*

• Black Ior Itarry I stools

• Blood Iin Istool

• Change Iin I bowel Ihabits I(constipation Ior I diarrhea)*



5. What is CEA? How does it relate to the diagnosis of colon
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cancer?
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CEA or Carcinoembryonic antigen is a blood test that helps diagnose and
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manage several type of cancers but this is used especially for the large
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intestine and rectum. Having this test, it allows the measurementof the
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levels of CEA in the bloodstream. It is found in many cell types, including
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colorectal cancers. This glycoprotein can be measured in the serum by
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radioimmune assays. It can be used to monitor the effective-ness of
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therapy or predict the recurrence of cancer after treatment.
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6. Shade in the area of the colon that will be removed duringI I I I I I I I I I I


R.T.'s surgery.
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No image available
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7. The preoperative chart includes detailed instructions for R.T.
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for a bowel preparation regimen with polyethylene glycol and a
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prescription for neomycin (Mycifradin). What is the purpose of
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the neomycin?
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The purpose of the administration of neomycin before the surgery is to
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decrease the numbers of intestinal bacteria. Intestinal anti-infectives,
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such as neomycin or kanamycin (Kantrex), are administered to de-
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This Istudy Isource Iwas Idownloaded Iby I100000839604613 Ifrom ICourseHero.com Ion I02-03-2022 I02:11:47 IGMT I-
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