A nurse is assessing a client who has a new diagnosis of colon cancer. Which of the following findings should the nurse expect?
Hematochezia
Elevated hemoglobin
Weight gain
Steatorrhea
The Correct Answer is A
Rationale:
A. Hematochezia: The passage of fresh blood in the stool, is a common symptom of colon cancer, especially when the tumor is located in the lower colon or rectum. Results from bleeding from the tumor and should be monitored in clients with a new diagnosis.
B. Elevated haemoglobin: An elevated hemoglobin level is not typical in colon cancer. Colon cancer often leads to chronic blood loss, which can cause anemia and result in a low hemoglobin level rather than an elevated one.
C. Weight gain: Weight loss, rather than weight gain, is more commonly seen in clients with colon cancer due to decreased appetite, malabsorption, or the metabolic effects of the cancer. Weight gain is not a typical finding associated with colon cancer.
D. Steatorrhea: Steatorrhea, or fatty stools, is more commonly associated with pancreatic or biliary disease rather than colon cancer. While colon cancer can cause digestive disturbances, steatorrhea is not typically expected.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["125"]
Explanation
Calculation:
Total volume to be infused = 500 mL.
Infusion time in minutes = 4 hr × 60 min/hr
= 240 minutes.
Drop factor of the manual IV tubing = 60 gtt/mL.
- Calculate the flow rate in drops per minute (gtt/min).
Flow rate (gtt/min) = (Total volume (mL) × Drop factor (gtt/mL)) / Infusion time (min)
= (500 mL × 60 gtt/mL) / 240 min
= 30000 / 240 gtt/min
= 125 gtt/min.
Answer: 125 gtt/min
Correct Answer is C
Explanation
Rationale:
A. Increased heart rate: Increased heart rate can be a general sign of infection or discomfort, but it is not the earliest indication of peritonitis in peritoneal dialysis. Other symptoms like cloudy effluent typically present earlier.
B. Generalized abdominal pain: While abdominal pain can be a sign of peritonitis, it typically appears after other signs like cloudy effluent, so it is not usually the earliest indicator.
C. Cloudy effluent: Cloudy effluent is the earliest and most indicative sign of peritonitis in peritoneal dialysis. This is due to the presence of white blood cells and bacteria in the peritoneal fluid, which is a hallmark of infection.
D. Fever: Fever is a later symptom of peritonitis. It typically occurs after the infection has progressed and is not the earliest sign to monitor for in the context of peritoneal dialysis.
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