Colon Cancer Test 5 LATEST answered
with clarification
Quiz:> The nurse conducts a nursing assessment of a client with colorectal cancer.
Which finding supports the current diagnosis of colorectal cancer?
a Abdominal tenderness
b No history of smoking
c Weight gain from last assessment
d An increased appetite
{{{Answer}}} (a
(Rationale
Abdominal tenderness supports the diagnosis of colorectal cancer. The client would
experience anorexia, not an increase of appetite. Weight loss, not weight gain, is
expected. Smoking is a risk factor for developing colorectal cancer. The fact that there
is no history of smoking does not support the diagnosis. ))
Quiz:> The nurse is caring for a client diagnosed with colon cancer. The client is
considered a poor surgical risk, but has a large tumor. Which intervention does the
nurse anticipate will be performed to treat this client's cancer?
a Local excision
b Laser photocoagulation
c Electrocoagulation
d Tumor resection
{{{Answer}}} (c
(Rationale
The nurse anticipates that fulguration, also referred to as electrocoagulation, will be
performed because of the size of the tumor and the client's classification of a poor
surgical risk. Tumor resection is the treatment of choice for colon cancer, but is not
considered because the client is a poor surgical risk. Laser photocoagulation and local
excision would be appropriate for a small tumor.))
,Quiz:> The nurse is conducting a presentation on the early detection of colon cancer.
What should the nurse encourage members of the audience to report to their healthcare
providers?
(Select all that apply.)
a Bowel changes
b Fatigue
c Negative fecal occult blood testing
d Rectal bleeding
e Unexplained weight loss with adequate nutritional intake
{{{Answer}}} (a,b,d,e
(Rationale
Risk factors in the health history that the nurse would encourage the audience to report
to their healthcare providers include unexplained weight loss, bowel changes, rectal
bleeding, and fatigue. A negative fecal occult blood testing would not be reported to the
healthcare provider.))
Quiz:> A client with colorectal cancer is exhibiting symptoms of anemia. Which
diagnostic test does the nurse anticipate will be ordered for this client?
a Guaiac test
b Hemoccult
c Carcinoembryonic antigen (CEA) level
d Complete blood count
{{{Answer}}} (d
(Rationale
The nurse would anticipate the healthcare provider to order a complete blood count to
assess for anemia. The guaiac test and the Hemoccult are fecal occult blood tests used
to detect blood in the feces. The CEA is ordered to estimate prognosis, monitor
treatment, and detect cancer recurrence.))
Quiz:> The nurse is providing care to a client who recently had a biopsy for colon
cancer. The biopsy indicates that the tumor has invaded the submucosa and the client
asks the nurse what this means. Which response by the nurse is most appropriate?
a "This means you are Stage 1."
b "This means you are Stage 2."
, c "This means you are Stage 0."
d "This means you are Stage 3."
{{{Answer}}} (a
(Rationale
Biopsy results that show the tumor has invaded the submucosa indicate Stage 1
cancer. The other responses do not indicate the correct staging for this finding.))
Quiz:> The nurse is assessing a client for risk factors associated with colorectal cancer.
Which findings in the health history would indicate the client is at risk for colorectal
cancer?
a Weight gain
b History of polyps
c History of heart disease
d Long-term use of laxatives
{{{Answer}}} (b
(Rationale
A history of polyps is a risk factor that is determined in the health history portion of the
nursing assessment that supports the risk for colorectal cancer. Weight loss, not weight
gain, would also support colorectal cancer. Long-term use of laxative and a history of
heart disease are not considered risk factors for colorectal cancer.))
Quiz:> Which are known risk factors associated with the development of colorectal
cancer?
(Select all that apply.)
a Smoking
b Age of 50 years
c Inflammatory bowel disease
d Diet high in carbohydrates
e Family history
{{{Answer}}} (a,b,c,e
(Known risk factors for the development of colorectal cancer include an age of 50 years,
history of smoking, family history of colorectal cancer, and history of inflammatory bowel
disease. A diet high in carbohydrates has not been identified as a risk factor, but a diet
high in calories and animal fat is associated with colorectal cancer.))
with clarification
Quiz:> The nurse conducts a nursing assessment of a client with colorectal cancer.
Which finding supports the current diagnosis of colorectal cancer?
a Abdominal tenderness
b No history of smoking
c Weight gain from last assessment
d An increased appetite
{{{Answer}}} (a
(Rationale
Abdominal tenderness supports the diagnosis of colorectal cancer. The client would
experience anorexia, not an increase of appetite. Weight loss, not weight gain, is
expected. Smoking is a risk factor for developing colorectal cancer. The fact that there
is no history of smoking does not support the diagnosis. ))
Quiz:> The nurse is caring for a client diagnosed with colon cancer. The client is
considered a poor surgical risk, but has a large tumor. Which intervention does the
nurse anticipate will be performed to treat this client's cancer?
a Local excision
b Laser photocoagulation
c Electrocoagulation
d Tumor resection
{{{Answer}}} (c
(Rationale
The nurse anticipates that fulguration, also referred to as electrocoagulation, will be
performed because of the size of the tumor and the client's classification of a poor
surgical risk. Tumor resection is the treatment of choice for colon cancer, but is not
considered because the client is a poor surgical risk. Laser photocoagulation and local
excision would be appropriate for a small tumor.))
,Quiz:> The nurse is conducting a presentation on the early detection of colon cancer.
What should the nurse encourage members of the audience to report to their healthcare
providers?
(Select all that apply.)
a Bowel changes
b Fatigue
c Negative fecal occult blood testing
d Rectal bleeding
e Unexplained weight loss with adequate nutritional intake
{{{Answer}}} (a,b,d,e
(Rationale
Risk factors in the health history that the nurse would encourage the audience to report
to their healthcare providers include unexplained weight loss, bowel changes, rectal
bleeding, and fatigue. A negative fecal occult blood testing would not be reported to the
healthcare provider.))
Quiz:> A client with colorectal cancer is exhibiting symptoms of anemia. Which
diagnostic test does the nurse anticipate will be ordered for this client?
a Guaiac test
b Hemoccult
c Carcinoembryonic antigen (CEA) level
d Complete blood count
{{{Answer}}} (d
(Rationale
The nurse would anticipate the healthcare provider to order a complete blood count to
assess for anemia. The guaiac test and the Hemoccult are fecal occult blood tests used
to detect blood in the feces. The CEA is ordered to estimate prognosis, monitor
treatment, and detect cancer recurrence.))
Quiz:> The nurse is providing care to a client who recently had a biopsy for colon
cancer. The biopsy indicates that the tumor has invaded the submucosa and the client
asks the nurse what this means. Which response by the nurse is most appropriate?
a "This means you are Stage 1."
b "This means you are Stage 2."
, c "This means you are Stage 0."
d "This means you are Stage 3."
{{{Answer}}} (a
(Rationale
Biopsy results that show the tumor has invaded the submucosa indicate Stage 1
cancer. The other responses do not indicate the correct staging for this finding.))
Quiz:> The nurse is assessing a client for risk factors associated with colorectal cancer.
Which findings in the health history would indicate the client is at risk for colorectal
cancer?
a Weight gain
b History of polyps
c History of heart disease
d Long-term use of laxatives
{{{Answer}}} (b
(Rationale
A history of polyps is a risk factor that is determined in the health history portion of the
nursing assessment that supports the risk for colorectal cancer. Weight loss, not weight
gain, would also support colorectal cancer. Long-term use of laxative and a history of
heart disease are not considered risk factors for colorectal cancer.))
Quiz:> Which are known risk factors associated with the development of colorectal
cancer?
(Select all that apply.)
a Smoking
b Age of 50 years
c Inflammatory bowel disease
d Diet high in carbohydrates
e Family history
{{{Answer}}} (a,b,c,e
(Known risk factors for the development of colorectal cancer include an age of 50 years,
history of smoking, family history of colorectal cancer, and history of inflammatory bowel
disease. A diet high in carbohydrates has not been identified as a risk factor, but a diet
high in calories and animal fat is associated with colorectal cancer.))
