A nurse is teaching a client who has a family history of pancreatic cancer about manifestations associated with the disease. Which of the following findings should the nurse include?
Asterixis
Weight gain
Abdominal pain
Constipation
The Correct Answer is C
Choice A rationale:
Asterixis is a hand-flapping tremor that can be associated with hepatic encephalopathy, not pancreatic cancer.
Choice B rationale:
Weight gain is not typically associated with pancreatic cancer and may not be a relevant manifestation to include.
Choice C rationale:
Abdominal pain is a common manifestation of pancreatic cancer and should be included in the teaching.
Choice D rationale:
Constipation is not typically associated with pancreatic cancer and may not be a relevant manifestation to include.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Drainage in the Hemovac is an expected finding postoperatively and is not as urgent as nonreactive pupils.
Choice B rationale:
Periorbital ecchymosis (bruising around the eyes) is not uncommon after a craniotomy and is not as urgent as nonreactive pupils.
Choice C rationale:
Nonreactive pupils can indicate a neurological emergency, such as increased intracranial pressure or potential damage to the cranial nerves. This finding requires immediate attention to prevent further complications.
Choice D rationale:
Hemoglobin level of 11 g/dL is within a normal range and is not a priority concern.
Correct Answer is D
Explanation
Choice A rationale:
Establishing a therapeutic relationship is important, but the immediate priority is to ensure the safety of the client by maintaining constant observation.
Choice B rationale:
Instructing the client on stress management techniques is important, but safety comes first.
Choice C rationale:
Having the client sign a no-suicide contract may provide some reassurance, but it is not a substitute for constant observation.
Choice D rationale:
Maintaining constant observation of the client is the priority to prevent any further self-harm or suicide attempts.
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