A bowel resection is scheduled for a client with the diagnosis of colon cancer with metastasis to the liver and bone. Which statement by the nurse best explains the purpose of the surgery?
"Removing the tumor is a primary treatment for colon cancer."
"Once the tumor is removed, cell pathology can be determined."
Tumor removal will promote comfort."
This surgery will prevent further tumor growth."
The Correct Answer is C
A. "Removing the tumor is a primary treatment for colon cancer.": Surgical removal is primary in early-stage cancer, but not when metastasis is widespread. At this point, the focus shifts from curative to palliative care.
B. "Once the tumor is removed, cell pathology can be determined.": Pathology is typically confirmed through prior biopsies. Surgery in advanced cases is not usually done for diagnostic purposes.
C. "Tumor removal will promote comfort.": In metastatic colon cancer, surgery is often palliative, aiming to relieve symptoms such as pain, obstruction, or bleeding. The goal is to enhance quality of life.
D. "This surgery will prevent further tumor growth.": With metastasis to the liver and bone, tumor growth is likely ongoing elsewhere. Surgery may reduce local tumor burden but does not prevent systemic progression.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. "Confirmation is achieved by ruling out other diseases that manifest similar symptoms.": Psychobiologic diagnoses are often made through exclusion since many medical and psychiatric conditions present with overlapping symptoms. This explanation is medically accurate and helps the client understand the diagnostic process.
B. "Diagnosis takes time to consult the specialist and to get those reports.": While this may be true, it lacks specific detail about the diagnostic process. It may come across as vague or dismissive rather than informative and supportive during a stressful time.
C. "We should have the conclusion of the tests soon. Hang in there.": This is a supportive statement but provides no meaningful information. It does not validate the client’s frustration or explain the nature of psychobiologic diagnosis.
D. "Psychotherapy will provide the best data to make a diagnosis.": Psychotherapy is primarily used for treatment, not diagnosis. While it may help reveal symptoms, the diagnostic process relies more on clinical assessment and the exclusion of medical conditions.
Correct Answer is D
Explanation
A. "New hair growth will return without any change to color or texture.": Hair may grow back with changes in texture, thickness, or color. Some clients experience curlier or finer hair than before, so this statement is misleading and overly definite.
B. "Wigs can be used after the chemotherapy is completed.": Wigs can be used during chemotherapy as well, not only afterward. This statement unnecessarily limits options for managing the psychological effects of alopecia during treatment.
C. "Clients with alopecia will have delay in grey hair.": Chemotherapy affects rapidly dividing cells, including hair follicles, but it does not delay the natural aging process or graying. This is not a known effect of chemotherapy-induced alopecia.
D. "The hair loss is usually temporary.": This is the most accurate and reassuring statement. Chemotherapy-induced alopecia is a common side effect of many chemotherapy drugs. It occurs because chemotherapy targets rapidly dividing cells, including hair follicle cells. It is typically reversible, and hair regrowth begins within weeks to months after treatment ends.
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