Juan Rodriquez, a 52-year-old male, had a routine screening colonoscopy last week.

Juan Rodriquez, a 52-year-old male, had a routine screening colonoscopy last week. He was asked to come into the office for the results this morning. Mr. Rodriquez was diagnosed with colon cancer and is scheduled for surgery to remove the tumor in 2 days.

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What psychosocial concerns should the nurse anticipate in caring for Mr. Rodriquez and his family?

Mr. Rodriquez has the surgery and is recovering without complications. His oncologist has discussed radiation therapy with Mr. Rodriquez and his wife. When the nurse comes into his room, Mr. Rodriquez says, “I thought all the cancer was gone when they took the tumor out! Now the doctor says I need radiation therapy. My friend had radiation therapy and he had burns! I don’t want burns!”

What actions should the nurse take to address Mr. Rodriquez’s concerns?

Four years later, Mr. Rodriquez is back in the hospital with a bowel obstruction. He has been cancer-free since the surgery and radiation therapies were completed. Mr. Rodriquez states “The doctor said this bowel obstruction was caused by the surgery or the radiation. How can that be?”

How should the nurse respond to Mr. Rodriquez?

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