Which assessment finding requires an immediate intervention by the nurse for the patient after surgery for the treatment of gastric cancer?

Anorexia

Pain

Diaphoresis

Nausea

Answer and Explanation

The Correct Answer is C

A. Anorexia is a common symptom after surgery and may be due to the stress of surgery, anesthesia, or the body's adjustment to changes in digestion. While it requires monitoring, it is not an immediate concern unless it worsens or is accompanied by other signs of complications.
B. Mild to moderate pain is expected after surgery, especially following major procedures like gastric cancer surgery. Pain management is important, but it is not usually an immediate concern unless it is severe, unmanageable, or worsens suddenly.
C. Excessive sweating (diaphoresis) after surgery could indicate a serious complication, such as hypovolemic shock, infection, or a cardiovascular event. It is critical for the nurse to assess for other signs, such as low blood pressure, rapid heart rate, or fever, and take immediate action.
D. Nausea can occur after surgery and is a common side effect from anesthesia, pain medications, or the digestive system adjusting. While it requires management, it is typically not as urgent as diaphoresis, unless it is persistent or associated with other concerning symptoms like vomiting or dehydration.

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Correct Answer is D

Explanation

A. This is not correct because a decrease in CEA levels typically indicates that the current treatment is having a positive effect on the cancer. If CEA levels were increasing, a change in the treatment plan might be considered, but this is not the case here.

B. An increase in CEA levels is typically associated with disease progression or metastasis, not a decrease. The reduction in CEA levels suggests that the cancer is responding to treatment, not progressing.

C. Tumor lysis syndrome occurs when a large number of cancer cells break down rapidly, releasing their contents into the bloodstream. It is more common with certain aggressive cancers or when large tumor burdens are rapidly shrinking. This client's decreasing CEA levels do not indicate that tumor lysis syndrome is more likely.

D. A decrease in CEA levels is a positive indicator that the chemotherapy is working and reducing the cancer burden, which is the desired effect.

A. Overexposure to ultraviolet light B. Under 40 years of age C. Previous skin injury D. Dark skin E. Genetic predisposition

Correct Answer is ["A","C","E"]

Explanation

A. Overexposure to ultraviolet light is a major risk factor for skin cancer, especially from prolonged sun exposure or tanning beds. UV radiation damages skin cells and increases the risk of skin cancer.
B. Skin cancer risk increases with age, particularly for basal cell carcinoma and squamous cell carcinoma. Melanoma is more common in younger individuals, but overall, age is a risk factor for many types of skin cancer.
C. Scars, burns, or other skin injuries can increase the risk of developing skin cancer, particularly squamous cell carcinoma, in the affected area.
D. Darker skin has more melanin, which provides some protection against UV radiation. While dark-skinned individuals are less likely to develop skin cancer, they are not immune, and it is still possible, especially for melanoma.
E. A family history of skin cancer increases the risk. Certain genetic mutations, such as those in the CDKN2A gene, can predispose individuals to skin cancer.

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Which assessment finding requires an immediate intervention by the nurse for the patient after surgery for the treatment of gastric cancer?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is reviewing lab results for a client receiving chemotherapy for the treatment of cancer. The nurse notes the carcinoembryonic antigen (CEA) was previously 198 ng/mL and is now 95ng/mL. The nurse is aware this finding indicates the:

Correct Answer is D

Explanation

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Correct Answer is ["A","C","E"]

Explanation

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