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CAGAYAN STATE UNIVERSITY                                                                                                              5
                                NCM 116


                                        3.  Diagnostic Evaluation   to serve as basis for the   in the past week. He denies
                                           of the Alimentary       nursing care plan          any recent weight loss,
                                           Canal                                              changes in bowel habits, or
                                           a.  Carcinoembryonic                               blood in the stool.
                                               Antigen             B. Perform appropriate
                                           b.  Stool Exams                                    Past Medical History (PMH):
                                               (Fecal Occult       health assessment of an    John has a history of
                                               Blood Test [Guiac   individual at risk or with   gastroesophageal reflux
                                               Test}, Ova,         actual cardiac or          disease (GERD) and was
                                               Parasites)          peripheral vascular        prescribed omeprazole, which
                                           c.  Gastric Analysis    problem                    he took intermittently. He also
                                           d.  Gastrointestinal                               has a history of hypertension,
                                               Series (UGIS                                   managed with lisinopril. There
                                               [Barium Swallow],   C. Assist and provide      is no history of surgeries or
                                               LGIS [Barium        proper health teachings    hospitalizations.
                                               Enema])             to a client for diagnostic
                                           e.  Abdominal                                      Family History:
                                               Ultrasound, CT,     evaluation of cardiac or   His father had a history of
                                               MRI                 vascular function          "stomach troubles," which
                                           f.  Endoscopic                                     John believes may have been
                                               Studies                                        ulcers. His mother is healthy,
                                        4.  Diagnostic Evaluation   D. Implement apt nursing  but has type 2 diabetes. He
                                           of the                  care plan for clients with   has one sister who is healthy.
                                           Hepatopancreatobiliar   altered cardiac and
                                           y System                vascular function based    Social History:
                                           a.  Serum Studies       on formulated suitable     John works as a financial
                                               (Immunoglobulins,   nursing diagnosis          analyst, a job that he reports to
                                               Amonia, Urea                                   be high-stress. He smokes half
                                               Nitrogen, Liver                                a pack of cigarettes daily and
                                               Enzymes)                                       drinks alcohol socially, usually
                                           b.  Liver Biopsy        E.  Identify and Assume    having a few beers on the
                                           c.  Endoscopic          Efficiently Nurses’ Role   weekends. His diet is often
                                               Retrograde          in Management of           composed of fast food due to
                                               Cholangiopancrea    Patient with Actual or     his busy work schedule.
                                               tography (ERCP)     Potential Cardiac or

                           F-ODI-2056
                                                                                                                                     Revision No. 07 January 31, 2024
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