The nurse is caring for a client who asks why blood levels of Carcinoembryonic Antigen (CEA) is drawn at periodic intervals. Which of the following responses describes the correct rationale?

Decrease levels of CEA indicate the treatment of your colon cancer was effective

Increased levels of CEA indicate that surgery to correct your diverticulitis was effective

Increased levels of CEA indicate a return of your pancreatitis

Decreased levels of CEA indicate that you have Ulcerative Colitis

Answer and Explanation

The Correct Answer is A

A. Decrease levels of CEA indicate the treatment of your colon cancer was effective: CEA is a tumor marker primarily used to monitor treatment response in certain cancers, especially colorectal cancer. A decrease in CEA levels after treatment suggests a positive response and reduced tumor burden.

B. Increased levels of CEA indicate that surgery to correct your diverticulitis was effective: CEA is not used to monitor diverticulitis. It is mainly associated with cancers, particularly colorectal cancer. An increase in CEA levels suggests possible cancer recurrence or progression, not resolution of diverticulitis.

C. Increased levels of CEA indicate a return of your pancreatitis: CEA is not a marker for pancreatitis. Pancreatitis is typically monitored using amylase, lipase, and imaging studies.

D. Decreased levels of CEA indicate that you have Ulcerative Colitis: Ulcerative colitis is an inflammatory bowel disease (IBD) that is not diagnosed or monitored using CEA. While chronic inflammation may increase cancer risk over time, CEA is not a direct indicator of UC.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

A. Both require frequent surgery: While surgery may be required for complications of UC or CD, not all cases require frequent surgery. UC is more likely to be treated with total colectomy, while Crohn’s often requires surgery for strictures, fistulas, or bowel obstruction.

B. Both are inflammatory: Both ulcerative colitis (UC) and Crohn’s disease (CD) are types of inflammatory bowel disease (IBD) characterized by chronic inflammation of the gastrointestinal tract.

C. Both begin in the rectum: Ulcerative colitis starts in the rectum and progresses proximally, while Crohn’s disease can occur anywhere along the gastrointestinal tract (mouth to anus) but most commonly affects the ileum and colon.

D. Both manifest fistula formation: Fistulas (abnormal connections between organs) are common in Crohn’s disease but not in ulcerative colitis.

A. Decrease in the respiratory rate from 20 to 16/min. B. Increase in the heart rate from 88 to 110/min C. Decrease in the urinary output from 50 mL to 30 ml per hour. D. increase in the temperature from 99.5°F to 101.5°F

Correct Answer is B

Explanation

A. Decrease in the respiratory rate from 20 to 16/min: Hypovolemic shock typically causes tachypnea (increased respiratory rate) as the body tries to increase oxygen delivery. A decreasing respiratory rate is not an expected finding.

B. Increase in the heart rate from 88 to 110/min: Tachycardia is an early sign of hypovolemic shock because the heart compensates for low blood volume by pumping faster.

C. Decrease in the urinary output from 50 mL to 30 mL per hour: A drop in urine output suggests early organ perfusion issues, but hypovolemic shock is suspected when urine output falls below 20 mL/hr.

D. Increase in the temperature from 99.5°F to 101.5°F: Fever suggests infection or inflammatory response, not hypovolemic shock. Shock typically causes hypothermia (low body temperature) as circulation is compromised.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

The nurse is caring for a client who asks why blood levels of Carcinoembryonic Antigen (CEA) is drawn at periodic intervals. Which of the following responses describes the correct rationale?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has ulcerative colitis and is teaching the client about the common link with Crohn's disease. Which of the following information should the nurse include?

Correct Answer is B

Explanation

A nurse is caring for a client who returns to the nursing unit from the recovery room after a sigmoid colon resection for adenocarcinoma. The client had an episode of intraoperative bleeding, which finding indicates to the nurse that the client may be developing hypovolemic shock?

Correct Answer is B

Explanation

A nurse admits a client to the emergency department who reports nausea and vomiting that worsens when he lies down. Antacids do not help. The provider suspects acute pancreatitis. Which of the following laboratory test results should the nurse expect to see?

The nurse is caring for a client with acute pancreatitis. Which of the following would the nurse anticipate seeing in the client's history?

The primary health care provider has determined that a client has contracted hepatitis A based on flu-like symptoms and jaundice. Which statement made by the client supports this medical diagnosis?

A nurse is admitting a client who has hepatitis C. Which of the following precautions should the nurse implement?

A nurse in a PACU is assessing a client who has a newly created colostomy. Which of the following findings should the nurse report to the provider?

A nurse is teaching a dent who is preoperative for a sigmoid colostomy. Which of the following statements should the nurse include?

A client who has been caring for an ostomy on the left side of the abdomen for several years is admitted to the hospital. Which type of stool can the nurse expect?

A nurse is assessing clients in a health clinic for risk factors for contracting hepatitis. Which of the following clients is at risk for developing hepatitis C