The nurse monitors for which clinical manifestation of metastasis to the liver in the patient diagnosed with esophageal cancer?

Dysphagia

Jaundice

Emesis

Hypercalcemia

Answer and Explanation

The Correct Answer is B

A. Dysphagia is a common symptom of esophageal cancer itself, not necessarily a sign of liver metastasis. Dysphagia occurs due to the tumor obstructing the esophagus.

B. Jaundice, characterized by a yellowing of the skin and sclera, can indicate liver dysfunction or metastasis to the liver. When cancer spreads to the liver, it can disrupt its normal functioning, leading to an accumulation of bilirubin in the body, causing jaundice.

C. Vomiting can occur in esophageal cancer due to obstruction or in advanced stages of the disease, but it is not a direct sign of metastasis to the liver.

D. Hypercalcemia can occur in some cancers, but it is not a typical manifestation of liver metastasis from esophageal cancer. It is more commonly seen in cancers such as breast, lung, or multiple myeloma.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

A. Radiation oncology is focused on the use of radiation therapy to treat cancer. Since the patient has decided not to continue with treatment, this specialty would not be the most appropriate recommendation in this situation.
B. Hospice care is designed to provide comfort and support for individuals with terminal illnesses who are no longer seeking curative treatments. It focuses on improving the quality of life, pain management, and providing emotional and spiritual support for the patient and their family. This is the most appropriate referral in the context of a terminal cancer diagnosis where the patient has chosen to discontinue curative treatment.
C. Psychiatry may be helpful if the patient is experiencing significant emotional or psychological distress, but it is not the primary specialty needed for a terminal cancer patient who is opting for comfort-focused care.
D. Surgical oncology would be involved if surgery were part of the cancer treatment plan. Since the patient has chosen not to continue treatment, surgery is unlikely to be appropriate at this time.

A. Assess site daily for redness, swelling or exudate at insertion site B. To maintain patency, the catheter should be flushed weekly using a 5 ml syringe C. Notify the primary care provider if swelling of the neck or arm is noted D. The primary care provider will monitor hemoglobin and hematocrit values weekly

Correct Answer is A

Explanation

A. Assessing site daily for redness, swelling, or exudate at insertion site is crucial for detecting early signs of infection. A tunneled IV catheter, like a Hickman catheter, provides a direct route to the bloodstream, so infection at the insertion site can lead to serious complications such as sepsis. Regular monitoring is essential.
B. The catheter should be flushed regularly, but the standard protocol is usually to flush the catheter with saline or heparin more frequently (often every 7 days or after each use) and with a larger syringe (typically 10 mL) to prevent catheter damage. The frequency and method of flushing should be confirmed with institutional protocols and the healthcare provider.
C. Swelling in the neck or arm could indicate a complication like thrombosis or catheter occlusion, and it is important to notify the healthcare provider. However, this is not directly related to infection, so it's a more specific symptom rather than a broad teaching point about infection signs.
D. While the healthcare provider may monitor various lab values, the focus of teaching about infection would not be on hemoglobin and hematocrit. The main concern post-placement of a Hickman catheter is the risk of infection, not necessarily these specific lab values.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

The nurse monitors for which clinical manifestation of metastasis to the liver in the patient diagnosed with esophageal cancer?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient has been diagnosed with terminal cancer and has decided to not continue with treatment. The nurse would recommend a consult with which healthcare specialty?

Correct Answer is D

Explanation

The nurse is preparing discharge teaching for a client newly diagnosed with cancer who just had a tunneled IV catheter (Hickman) placed. The nurse would include which information in the teaching plan regarding signs and symptoms of infection?

Correct Answer is A

Explanation

The nurse is caring for a client who has an abdominal aortic aneurysm. The physician explains to the client that the aneurysm is small and that the client will be managed medically. Based on this information. It is most important that the nurse reinforces discharge teaching about:

The nurse assessing the client diagnosed with Parkinson's disease (PD) would expect which of the following assessment findings?

A client is to receive 2 mg of haloperidol IM. The vial contains 5 mg per mL. What volume should the nurse administer?

The nurse is caring for a client who had a bowel resection for colon cancer. The vital signs were stable during surgery. While in the post-anesthesia care unit (PACU) the client is sleepy, but awakens easily. The pulse ox is 88%. What would be the priority action by the nurse?

The nurse is assessing a client who is 24-hours post-op after creation of a descending end colostomy due to colon cancer. Which of the following is an expected finding for this client?

The nurse is caring for a client with an acute head injury. Which assessment finding would first alert the nurse that the client is developing an Increase in intracranial pressure?

A nurse in the post-anesthesia care unit is caring for a client who is postoperative following a thoracotomy and lobectomy. Which of the following postoperative assessments should the nurse give highest priority?

A client is receiving 1000 mL 0.9% NaCl at 80 mL/hr. On arrival to the unit at 1500, the client has 400 mL of IV fluid remaining. At what time should the nurse expect to hang a new bag? (please use military time)