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 stoma will be edematous in appearance.

Bowel sounds will be hyperactive.

The colostomy appliance will need to be replaced

The colostomy will be producing fecal matter from the proximal stoma and mucus from the distal stoma.

Answer and Explanation

The Correct Answer is A

A. The stoma will be edematous in appearance; this is an expected finding 24 hours after surgery. Mild to moderate edema is normal due to surgical manipulation and should gradually decrease over time.
B. Bowel sounds are often hypoactive or absent immediately post-op due to anesthesia and bowel manipulation, not hyperactive.
C. The colostomy appliance typically remains in place unless there's a leak or issue; routine replacement is not expected at 24 hours post-op.
D. A descending end colostomy involves only one stoma from the proximal end of the bowel; there is no distal stoma, so this option does not apply.

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Correct Answer is C

Explanation

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.

A. platelet count of 50.000 B. nausea and vomiting C. temperature of 38.9 C (102F) D. alopecia

Correct Answer is C

Explanation

A. Platelet count of 50,000 is low (normal is usually 150,000-450,000), and this can be associated with bone marrow depression caused by chemotherapy. However, bone marrow depression itself doesn't cause a fever directly. The low platelet count increases the risk of bleeding, but it wouldn't necessarily lead to a temperature elevation by itself.

B. Nausea and vomiting are common side effects of chemotherapy but are not directly related to bone marrow depression. Bone marrow depression typically affects the production of blood cells (red blood cells, white blood cells, and platelets), but nausea and vomiting are more directly associated with the chemotherapy agents themselves rather than the resulting bone marrow suppression.

C. A fever of 38.9°C (102°F) could indicate an infection, which is a serious risk for patients with bone marrow depression due to chemotherapy. The suppression of white blood cell (WBC) production from chemotherapy leads to neutropenia, leaving the patient more vulnerable to infections. A fever in this context is a medical emergency and requires immediate attention, as it may signify a bacterial or fungal infection, which could be life-threatening in an immunocompromised patient.

D. Alopecia (hair loss) is a well-known side effect of chemotherapy, but it is not a direct consequence of bone marrow depression. It is more related to the chemotherapy drugs affecting rapidly dividing cells, like those in hair follicles. While it is a common and distressing symptom, it is not an indicator of bone marrow function or depression.

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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?

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Naxlex Comprehensive Predictor Exams

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

Correct Answer is C

Explanation

patient is experiencing bone marrow depression as a result of chemotherapy. Which assessment should the nurse expect because of this health problem?

Correct Answer is C

Explanation

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