Diagnostic testing has revealed that a client's hepatocellular carcinoma (HCC) is limited to one lobe. The nurse should anticipate that this client's plan of care will focus on what intervention?
Cryosurgery
Liver transplantation
Lobectomy
Laser hyperthermia
The Correct Answer is C
A. Cryosurgery is used for tumors in patients who are not surgical candidates but is not the primary treatment for resectable, localized liver cancer.
B. Liver transplantation is considered when cancer involves both lobes or in the presence of underlying liver disease (e.g., cirrhosis), not when the tumor is confined to one lobe.
C. Lobectomy (surgical resection of the affected lobe) is the preferred treatment when hepatocellular carcinoma is localized to one lobe and the remaining liver tissue is healthy.
D. Laser hyperthermia is an investigational or palliative technique and is not considered first-line treatment for localized HCC.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D"]
Explanation
A. Foods high in vitamin D are important because Cushing syndrome can lead to bone demineralization and osteoporosis. Vitamin D helps with calcium absorption and bone health.
B. Foods high in calories are not typically recommended, as clients with Cushing syndrome often experience weight gain and fat redistribution; calorie control is important.
C. Foods high in protein support muscle mass, which may be reduced in Cushing syndrome due to protein catabolism.
D. Foods high in calcium are essential to help counteract the risk of osteoporosis caused by excess cortisol.
E. Foods high in sodium should be avoided, as Cushing syndrome often causes fluid retention and hypertension — a low-sodium diet is usually recommended.
Correct Answer is C
Explanation
A. High-fiber foods may cause bloating and gas shortly after surgery, which can be uncomfortable during the early recovery period.
B. Low-purine, nutrient-dense foods are recommended for conditions like gout, not specifically for post-cholecystectomy care.
C. Low-fat foods high in proteins and carbohydrates are ideal after gallbladder removal to prevent fat intolerance and support healing and energy needs.
D. Low-residue diets are primarily used for bowel disorders and are not essential in the immediate post-cholecystectomy period.
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