J.D. is a 70-year-old man with a history of prostate cancer, which was treated with palliative…

J.D. is a 70-year-old man with a history of prostate cancer,
which was treated with palliative hormones and radiation. His admitting
diagnosis is adenocarcinoma of the prostate with widespread bone metastasis.
J.D. is married and has one grown daughter, who often helps with his care. His
chief concern is severe back pain. The physician has ordered intrathecal
morphine sulfate and aspirin 10 g for pain relief. The following questions will
guide your development of a nursing care plan for the case study.

1. List symptoms typically seen in clients diagnosed with
prostate cancer.

2. Identify
»

J.D. is a 70-year-old man with a history of prostate cancer,
which was treated with palliative hormones and radiation. His admitting
diagnosis is adenocarcinoma of the prostate with widespread bone metastasis.
J.D. is married and has one grown daughter, who often helps with his care. His
chief concern is severe back pain. The physician has ordered intrathecal
morphine sulfate and aspirin 10 g for pain relief. The following questions will
guide your development of a nursing care plan for the case study.

1. List symptoms typically seen in clients diagnosed with
prostate cancer.

2. Identify the population most at risk for developing
prostate cancer.

3. List three possible risk factors for prostate cancer.

4. Discuss the rationale for the physician’s orders
including aspirin along with morphine sulfate.

5. Discuss the rationale for benzodiazepines not being used
for pain relief.

6. List the subjective and objective data the nurse would
want to obtain.

7. When you walk into J.D.’s room, he greets you with a
smile and continues talking and joking with his daughter. While assessing him,
you note that his vital signs are normal. You ask him to rate his pain on a
scale of 0 to 10. He pauses to think about it, then rates the pain at 8. In the
chart, you must record your nursing assessment by circling the appropriate
number on the scale. Which number do you think you should circle?

8. Write three individualized nursing diagnoses and goals
for J.D.

9. Discuss which oncological emergency J.D. is most likely
to develop

»