J.J., 46, owns a hobby shop. He has had a cold for 3 weeks that has recently settled in his chest…

J.J., 46, owns a hobby shop. He has had a cold for 3 weeks
that has recently settled in his chest. He has been tired lately and takes naps
each evening before the evening meal. His wife noticed several bruises on his
arms and legs, but J.J. could not recall any particular injury. J.J. has
gradually lost 10 pounds during the last 3 months but has not been concerned
about it. When J.J. went to the clinic for some antibiotics for his cold, the
nurse practitioner completed a physical assessment and ordered a chest x-ray
and CBC. The nurse practitioner noticed the WBCs were 250,000/mm3; RBCs, 4.2
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J.J., 46, owns a hobby shop. He has had a cold for 3 weeks
that has recently settled in his chest. He has been tired lately and takes naps
each evening before the evening meal. His wife noticed several bruises on his
arms and legs, but J.J. could not recall any particular injury. J.J. has
gradually lost 10 pounds during the last 3 months but has not been concerned
about it. When J.J. went to the clinic for some antibiotics for his cold, the
nurse practitioner completed a physical assessment and ordered a chest x-ray
and CBC. The nurse practitioner noticed the WBCs were 250,000/mm3; RBCs, 4.2
million/mm3; and platelets, 100,000/mm3. After several other tests were
performed during the next few days, a diagnosis of chronic myelogenous leukemia
(CML) was confirmed.

The following questions will guide your development of a
nursing care plan for the case study.

1. List the symptoms occurring in J.J. that are typical of
CML.

2. List five other typical symptoms of CML that were not
stated in the case study.

3. List other diagnostic tests that could be done to confirm
the diagnosis of CML.

4. List subjective and objective data the nurse would obtain
about J.J.

5. Write three individualized nursing diagnoses and goals
for J.J.

6. List nursing interventions for J.J.

7. List community resources specific to locale that could assist
J.J. and his family during his illness with CML.

8. List discharge teaching the nurse would give to J.J. and
his family.

9. List successful client outcomes for J.J.

10. List chemotherapeutic agents and side effects of the
agents that may be prescribed for J.J.

11. List other medical treatments that may be ordered for
J.J.

12. What measures could the nurse take to meet the emotional
needs of J.J. and his family?

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