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A jaundiced client has just been diagnosed with stage IV pancreatic cancer. The nurse anticipates the client will display which clinical manifestation?

A.

Clay-colored stools

B.

Hematuria

C.

Pale dilute urine

D.

Weight gain

Answer and Explanation

The Correct Answer is A

A. Stage IV pancreatic cancer often leads to bile duct obstruction, causing decreased bile flow into the intestines. This results in clay-colored stools due to the absence of bile pigments.  

 

B. Hematuria, or blood in the urine, is not a common symptom of pancreatic cancer, even in advanced stages. It is more associated with conditions affecting the urinary system.  

 

C. Jaundice causes dark, concentrated urine rather than pale, dilute urine due to the accumulation of bilirubin in the bloodstream, which is excreted through the kidneys.  

 

D. Weight loss, rather than weight gain, is a common manifestation in clients with advanced pancreatic cancer due to malabsorption and cachexia.


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View Related questions

Correct Answer is A

Explanation

A. A profound feeling of tiredness is a common side effect of radiation therapy due to fatigue caused by the treatment itself and the body's response to cancer.

B. Renal impairment is not a typical direct side effect of radiation therapy for esophageal cancer; it is more commonly associated with treatments targeting the kidneys or systemic therapies.

C. Expectoration of frothy sputum may indicate pulmonary issues or fluid overload but is not a common side effect specifically related to radiation therapy for esophageal cancer.

D. Development of bone marrow suppression is possible but less common specifically with radiation therapy compared to chemotherapy, which is more directly associated with this side effect.

Correct Answer is B

Explanation

A. 1500: This is incorrect

B. The calculation is as follows:

Remaining fluid: 600 mL
IV rate: 100 mL/hour

Time to empty the bag: 600 mL ÷ 100 mL/hour = 6 hours

Adding 6 hours to the report time:
0700 + 0600 = 1300

The correct answer is 1300.

C. 1400: This is incorrect

D. 1500: This is incorrect

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