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 B
Explanation
A. Risk for peripheral neurovascular dysfunction is more relevant in conditions involving compromised circulation or trauma to extremities, not typical for SIADH.
B. Excess fluid volume is the priority concern in SIADH due to excessive release of antidiuretic hormone, leading to water retention, dilutional hyponatremia, and potential for cerebral edema.
C. Hypothermia is not a hallmark feature of SIADH and is not typically associated with fluid or sodium imbalances.
D. Ineffective airway clearance may be relevant in respiratory conditions but is not a primary issue in SIADH.
Correct Answer is C
Explanation
A. Pancreas transplantation is rare and not a primary treatment for type 2 diabetes.
B. Oral antidiabetic agents should be taken regularly as prescribed, not only when blood sugar is high.
C. Lifestyle modification, especially weight loss, is the cornerstone of type 2 diabetes management and can significantly improve insulin sensitivity.
D. Insulin therapy is not the primary treatment for all clients with type 2 diabetes; many manage with lifestyle and oral agents first.
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