Get Answer: Part Continues From Question Guide
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What This Question Is About
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How to Approach This Question
Break the problem into smaller parts and analyze each logically.
Key Explanation
This topic involves part continues from. A strong answer should include explanation, application, and examples.
Original Question
Part 3 continues from Part 1 and Part 2 as the patient situation continues. You may want to review Amy from the previous submissions and remind yourself of the care provided. Nursing care involves the whole person, not just the situation arising now. Case Study: Amy Canneloni arrives to the Emergency Department at 10am with difficulty breathing. She complains of chest pain, tightness, some dizziness, nausea, and feeling like she is going to die. She says she thinks she ‘will not make it’. On assessment, she is diaphoretic and trembling. BP 184/92, 104, irregular at times, 36.90C, and RR 28/min and shallow. She rates her chest pain as 8/10. Amy Amy’s daughter had surgery several days ago for a diagnosis of colorectal cancer. She has a staging of T2N1M0. Tonight, Amy says she lay awake all-night thinking about this and over the last several hours developed the symptoms described above. She feels that her daughter will die because of her cancer. Amy feels confident that she also has colon cancer as at times she feels bloated and has occasional constipation. She has no history of cardiac problems, and no family history of gastrointestinal disorders. There is a history of anxiety (currently treated with escitalopram), an intentional acetaminophen overdose, and a subsequent upper GI bleed. The GI bleed resolved several weeks ago. Instructions Please use the Case Study provided in the description **If you give more than the # of answers asked for (EX: you give 4 answers when only asked for 3), you will be deducted on all incorrect answers. EX: The question asks for 3 reasons but you provide 4. However 2 of these reasons are incorrect. This will result in a 2 mark deduction. So you would get 1/3 because there were 2 incorrect answers*** Question 1 With her presenting symptoms, the nurse considers if Amy presents with a mental health concern or a cardiac concern. What will the nurse consider? Question 2 Identify three priority concerns for Amy at this time. (4 marks) What will the initial nursing intervention be for each priority? What health care provider orders, specific to the situation, will the nurse expect to receive? Question 3 The physician has assessed Amy and provides the diagnosis of acute panic attack related to situational crisis. Once Amy’s panic attack begins to subside, she states ‘I’m pretty sure I have cancer too, just like my daughter’. Amy briefly describes a decrease in her appetite, occasional abdominal pain, and occasional bloating. What assessment questions will the nurse ask to further identify the problem? Question 4 What diagnostic test could be performed to determine the cause of Amy’s GI issues, and what would the rationale be? Question 5 Amy tells you that her daughter will be beginning chemotherapy in the next few weeks. Amy says ‘I can’t understand this! I thought they removed her cancer when they did surgery? Why does she need this as well?’ What is the best response to this statement? Question 6 About 6 hours later, Amy is being discharged home with an appointment in the Mental Health clinic for next week. Prior to discharge, what recommendation, with rationale would you provide to Amy for her own colon cancer screening? Question 7 The nurse provides a brief overview of risk factors for reducing the incidence of colon cancer. Identify 5 factors, including those that you know are specific to Amy, and a specific intervention for each. JUST FOR REFERENCE HERE IS THE PART 1 AND PART 2 OF AMY Activity: Evolving Plan of Care Part 1 Activity Description Amy is a 51-year-old female who attempted suicide with the ingestion of pills. She self-administered 30 grams of acetaminophen and 50 mg of diphenhydramine about four hours ago. A few hours after the pill ingestion, she regretted the overdose and brought herself to the Emergency Room for treatment. She was assessed in the Emergency Room. She states feeling very ‘down’ over the past few weeks, and at the time thought taking the overdose was the best thing to do. For this case study, you are the nurse and respond to questions in this capacity. Activity: Evolving Plan of Care Part 2 Activity Description Amy is a 51-year-old female who arrived in the ER department complaining of feeling dizzy and lightheaded. On assessment, she indicates lack of appetite, epigastric tenderness and ache, and a BP of 92/60. She feels dizzy and lightheaded with most movement, not just on rising or changing position. It is noted that she is limping slightly. She states she injured her knee when she slipped on some wet leaves on her porch. She has been taking analgesics for this. She was discharged from our Mental Health Unit three weeks after an unsuccessful suicide attempt with acetaminophen.
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