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NUR 185 Week 7
Concept: Elimination
Task
Comparing and contrasting
Explain the reason for the occult (Eaiac? Tood test and the client instructions for obtaining it.
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Task
Comparing and contrasting
Compare and contrast an ostomy of the bowels and one of the urinary systems. How are they the same?
How are they different? Be sure to include what you will teach the patient. Linton chap}er 18
Location of Ostomy How are they the same How are they different
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stud ent Name/Initials: )-/“ }
Task
Gathering complete and accurate data
Assessing systematically land comprehensively.
Predicting and managing potential complications
Name: Vemon Watkins Past Medical History: Vernon Watkins
has a history of cataracts and controlled
Age: 69 years
hypertension. He has smoked half a pack of
Race: Caucasian filtered cigarettes a day for 50 years, walks
Religion: Christian three miles a day. -
Allergies: Penicillin (hives) History of Present lliness: Presented to
Immunizations: Current the Emergency Department 3 days ago
Location: Medical-Surgical Unit with complaints of nausea, vomiting, and
severe abdominal pain. He was admitted for
emergent surgery for bowel pefforation.
Social History: Retired postal service -
worker; enjoys yard work
Vernon is a 69-year-old white Christian male who is a retired postal service worker. His wife
Martha nags him about his smoking, but it seems to her it is a lost cause. Lately he has felt
sluggish and finds he has very little appetite.
What if Mr. Watkins was diagnosed with stage 4 colon cancer and required a sigmoid colostomy.
Plan preop and postop care for Mr. Watkins. Be sure to include emotional care as well as
physical care. Consider Mr. Watkins' history and lifestyle then think about potential
complications. Be sure to include client teaching focusing specifically on the needs of Mr.
Watkins.
Nursing Care Rationale for Nursing Care
Nursing care is related to the
condition and the surgery. | ARV
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Nursing care related to the
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condition and the surgery
continued.
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