Colon Cancer R.T. is a 64-year-old man who went to his primary care… Colon Cancer 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 findings were normal except for stool positive for occult blood. He had a complete blood count (CBC) with differential, basic metabolic panel (BMP), and carcinoembryonic antigen (CEA) testing and was referred to a gastroenterologist for a colonoscopy. Colonoscopy revealed a 5-cm mass in the sigmoid colon, which was diagnosed as adenocarcinoma of the colon. He undergoes a laparoscopic sigmoidectomy with anastomosis. R.T.’s surgical course is uneventful and he is discharged after 5 days. Based on the final pathology report, his cancer is designated stage IIIB. The cancer had spread to the muscle layer of the colon wall with nine lymph nodes being positive. Four weeks after surgery, R.T. is scheduled to begin 6 months of adjuvant chemotherapy regimen that includes the use of 5-fluorouracil (5-FU), oxaliplatin (Eloxatin), and leucovorin (folinic acid) Describe why leucovorin (folinic acid) is included as a part of adjuvant chemotherapy Discuss the major toxicities and side effects associated with 5-fluorouracil (5-FU) and leucovorin (folinic acid). When prioritizing R.T.’s plan of care, which of these effects is the most serious? Develop a teaching plan for R.T. focusing on the common effects of diarrhea, alopecia, and nausea and vomiting. Health ScienceScienceNursing NURS 22000

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