A nurse is educating a client about a recent diagnosis of pancreatic cancer. Which of the following information should the nurse include in the client education?
Pancreatic cancers are classified as either endocrine pancreatic cancer or exocrine pancreatic cancer.
Pancreatic cancer typically develops from a polyp
The pancreas location increases the risk that cancer will spread into nearby structures and blood vessels
Pancreatic Cancer is distinguished based on the layers of the pancreas.
The Correct Answer is A
A. Pancreatic cancers are indeed classified into two main categories: endocrine (which involves the hormone-producing cells, such as insulin-producing cells, and is much less common) and exocrine (which involves the cells that produce digestive enzymes, and is the more common form, typically referred to as pancreatic adenocarcinoma). However, this option doesn't provide the most relevant information for client education, particularly because the exocrine type is much more common, and the statement is somewhat vague in terms of how it relates to the client's immediate understanding of the condition.
B. Unlike some other cancers (e.g., colorectal cancer), pancreatic cancer does not typically develop from polyps. Most cases of pancreatic cancer develop from the pancreatic ductal cells (the cells lining the ducts of the pancreas), and the disease is typically aggressive and diagnosed at a later stage.
C. The pancreas is located in a central area of the abdomen, near many vital organs such as the liver, stomach, intestines, and large blood vessels. Because of this location, pancreatic cancer has a high tendency to spread to nearby structures such as the liver, stomach, and major blood vessels early in its course. This characteristic often makes pancreatic cancer more difficult to treat and contributes to its poor prognosis.
D. Pancreatic cancer is not distinguished based on layers. Instead, it is generally categorized based on the type of cells it affects (e.g., ductal cells in exocrine pancreatic cancer). The staging of pancreatic cancer is based on factors like tumor size, lymph node involvement, and metastasis, rather than the layers of the pancreas.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["2000"]
Explanation
Answer: 2000
Rationale:
Step 1: Determine the volume remaining
400 mL of IV fluid is left.
Step 2: Determine the infusion rate
80 mL/hour
Step 3: Calculate the time it will take to infuse the remaining fluid:
Time = Volume ÷ Rate
Time = 400 mL ÷ 80 mL/hour = 5 hours
Step 4: Add the infusion time to the current time
Arrival time = 1500
1500 + 5 hours = 2000
Correct Answer is C
Explanation
A. While it is helpful for individuals to track and monitor skin lesions, keeping a detailed body map may not be a common or necessary recommendation for everyone. Self-monitoring is important, but the focus should be on regular skin checks rather than detailed mapping.
B. The recommended frequency for self-skin exams is monthly, not every 2 months. Regular monthly self-exams are essential for early detection of skin cancer.
C. Tanning beds expose the skin to ultraviolet (UV) radiation, which increases the risk of developing skin cancer, especially melanoma. Limiting or avoiding tanning bed use is a key prevention strategy for skin cancer.
D. The sun's UV rays can be strong throughout the day, not just before or after 3pm. The most important guideline for sun safety is to avoid excessive sun exposure, particularly between 10am and 4pm, when UV rays are strongest. Simply avoiding the sun after 3pm is not a sufficient recommendation.
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