A patient with a large stomach tumor that is attached to the ...

[londonang]

A patient with a large stomach tumor that is attached to the liver is scheduled to have a debulking procedure. Which information should the nurse teach the patient about the outcome of this procedure?
 
  a. Pain will be relieved by cutting sensory nerves in the stomach.
  b. Relief of pressure in the stomach will promote better nutrition.
  c. Tumor growth will be controlled by the removal of malignant tissue.
  d. Tumor size will decrease and this will improve the effects of other therapy.

Question 2

The nurse is caring for a patient with colon cancer who is scheduled for external radiation therapy to the abdomen. Which information obtained by the nurse would indicate a need for patient teaching?
 
  a. The patient swims a mile 3 days a week.
  b. The patient snacks frequently during the day.
  c. The patient showers everyday with a mild soap.
  d. The patient has a history of dental caries with amalgam fillings.

[mcomstock09]

Answer to Question 1

A debulking surgery reduces the size of the tumor and makes radiation and chemotherapy more effective. Debulking surgeries do not control tumor growth. The tumor is debulked because it is attached to the liver, a vital organ (not to relieve pressure on the stomach). Debulking does not sever the sensory nerves, although pain may be lessened by the reduction in pressure on the abdominal organs.

Answer to Question 2

ANS: A
The patient is instructed to avoid swimming in salt water or chlorinated pools during the treatment period. The patient does not need to change habits of eating frequently or showering with a mild soap. A history of dental caries will not impact the patient who is scheduled for abdominal radiation.