NCLEX Review & Nursing School

COLORECTAL CANCER

– Cancer of the Colon or rectum.

• CAUSES/FACTORS
• DIET WITH HIGH LEVELS OF FATS, FRIED FOODS AND REFINED CARBS

Assessment

• CHANGE IN STOOL (CONSISTENCY, COLOR)
• RECTAL BLEEDING, ANEMIA
• MAHOGANY COLORED OR BRIGHT COLORED STOOLS

APPENDICITIS

– Location of the appendix: attached to the cecum in the right lower abdomen.
– It usually starts as epigastric pain and then moves into the right lower quadrant.

• THIS AREA IS CALLED THE MCBURNEY’S POINT

Remember: ♣ No Laxatives or Enemas w/ ct’s with appendicitis, because it cause perforation.
Assessment/ Symptoms

• LOW GRADE FEVER
• NAUSEA AND VOMITING.

Diagnosis:

• THERE IS AN ELEVATED WHITE BLOOD CELL COUNT
• THERE WILL BE SOME BOWEL DISTENTION.

Procedures:
– ◊ Apendectomy
Pre Op: Administer analgesics, IV Fluids and antibiotics
– The patient can be discharges the same day or the next day.