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The nurse is caring for a client diagnosed with cancer of the pancreas head who is complaining of nausea, severe epigastric pain, and jaundice. Which of the following stool characteristics can the nurse anticipate?

Blood tinged

Clay

Brown

Chalky

Answer and Explanation

The Correct Answer is B

A. Blood-tinged: Pancreatic cancer does not typically cause rectal bleeding.

B. Clay: Blockage of the bile duct leads to pale (clay-colored) stools due to lack of bilirubin.

C. Brown: Normal stools are brown due to bilirubin metabolism.

D. Chalky: Chalky is not a typical term used for stool description in pancreatic cancer.

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Correct Answer is C

Explanation

A. Stoma oozing red drainage: Some drainage is expected postoperatively.

B. Rosebud-like stoma orifice: This is a normal appearance of a healthy stoma.

C. Purplish colored stoma: A purplish stoma indicates ischemia or poor perfusion and requires immediate intervention.

D. Shiny, moist stoma: This is a normal finding for a stoma.

A. Decrease in the respiratory rate from 20 to 16/min. B. Increase in the heart rate from 88 to 110/min C. Decrease in the urinary output from 50 mL to 30 ml per hour. D. increase in the temperature from 99.5°F to 101.5°F

Correct Answer is B

Explanation

A. Decrease in the respiratory rate from 20 to 16/min: Hypovolemic shock typically causes tachypnea (increased respiratory rate) as the body tries to increase oxygen delivery. A decreasing respiratory rate is not an expected finding.

B. Increase in the heart rate from 88 to 110/min: Tachycardia is an early sign of hypovolemic shock because the heart compensates for low blood volume by pumping faster.

C. Decrease in the urinary output from 50 mL to 30 mL per hour: A drop in urine output suggests early organ perfusion issues, but hypovolemic shock is suspected when urine output falls below 20 mL/hr.

D. Increase in the temperature from 99.5°F to 101.5°F: Fever suggests infection or inflammatory response, not hypovolemic shock. Shock typically causes hypothermia (low body temperature) as circulation is compromised.

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The nurse is caring for a client diagnosed with cancer of the pancreas head who is complaining of nausea, severe epigastric pain, and jaundice. Which of the following stool characteristics can the nurse anticipate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a PACU is assessing a client who has a newly created colostomy. Which of the following findings should the nurse report to the provider?

Correct Answer is C

Explanation

A nurse is caring for a client who returns to the nursing unit from the recovery room after a sigmoid colon resection for adenocarcinoma. The client had an episode of intraoperative bleeding, which finding indicates to the nurse that the client may be developing hypovolemic shock?

Correct Answer is B

Explanation

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