A nurse knows that the liver is a common site for metastasis from other primary cancers due to:

anatomic placement

portal hypertension

It’s blood supply

presence of tumor markers

Answer and Explanation

The Correct Answer is C

A. While the liver is centrally located and plays a significant role in filtering blood, its location alone does not directly explain why it's a common site for metastasis.
B. Portal hypertension refers to increased pressure within the portal vein system, usually due to liver disease, not metastasis.
C. The liver has a dual blood supply from the portal vein and the hepatic artery, which makes it a key organ for filtering blood coming from the digestive tract. This provides a route for cancer cells from the gastrointestinal tract and other organs to travel to the liver, making it a common site for metastasis.
D. Tumor markers are substances that may be found in higher amounts in the blood or tissues of people with cancer. However, they do not directly explain why the liver is a common site for metastasis.

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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. Renal impairment B. A profound feeling of tiredness C. Weight loss D. Development of bone marrow suppression

Correct Answer is D

Explanation

A. Renal impairment is not a common complication directly associated with radiation therapy for esophageal cancer. Radiation typically affects the targeted area and surrounding tissues, not the kidneys.
B. A profound feeling of tiredness (fatigue) is a common side effect of radiation therapy, as it affects the body's energy levels, but it is generally expected and not necessarily a sign of a complication.
C. Weight loss is a common symptom of esophageal cancer itself due to difficulty swallowing and poor nutrition, as well as a side effect of radiation therapy. However, it is not necessarily an indication of a complication but rather a normal symptom of the disease and its treatment.
D. Radiation therapy can cause bone marrow suppression, which impacts the production of blood cells. This is a serious complication and can lead to anemia, leukopenia, or thrombocytopenia, increasing the risk of infections, bleeding, and fatigue. Therefore, development of bone marrow suppression would be a critical finding to address.

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A nurse knows that the liver is a common site for metastasis from other primary cancers due to:

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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

In assessing a client with esophageal cancer being treated with radiation therapy, which finding(s) would alert the nurse to a possible complication of this treatment?

Correct Answer is D

Explanation

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