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Get Answer: Working Oncology Service Question Guide

Understanding this question requires applying core subject principles.

What This Question Is About

This question relates to working oncology service and requires a structured academic response.

How to Approach This Question

Break the problem into smaller parts and analyze each logically.

Key Explanation

This topic involves working oncology service. A strong answer should include explanation, application, and examples.

Original Question

You are working 7PM-7AM on an oncology service of a university medical center with a pediatric/adolescent/adult population. The staff working with you includes an experienced oncology RN, an experienced RN who has completed orientation to oncology, 3 PCTs (Patient Care Technicians) and a nursing student. Interns and residents (oncology) are on call. The patient assignment is as follows: AC 66 year old male Adm. Dx: Colon cancer (Stage 2) – receiving chemotherapy cycle as an outpatient. Hosp. day 2, admitted for diarrhea and dehydration PMH: Colon resection 2 months ago Soc. Hx: Married, lives with wife and 3 children (20 yrs, 18 yrs and 12 yrs); Wt: 62.7 Kg; Employed, owns home, health insurance, occasional alcohol intake, non-smoker Report: Port-a-cath CVC in place – site clean/dry FOLFOX protocol (5-FU, leucovorin and oxaliplatin) last week Bland diet, unable to tolerate Antiemetics and anti-diarrheals PRN D5W w/20 mEq KCL @ 100 mL/hr Morning labs: RBCs – 3.8, Hgb 12, Hct 38, WBCs 4, Platelets 99 Stool culture negative for C-diff 2. Identify at least 3 factors (co-morbid conditions, support systems, environmental factors, etc.) that could delay discharge. a. Include evidence based strategies utilized to prevent these complications (with references)

 
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