A client who is suspected of having an early malignant tumor asks ...

[ts19998]

A client who is suspected of having an early malignant tumor asks the nurse why the physician has ordered blood studies for cancer. The nurse should explain that:
 
  1. early cancer cells produce changes in the electrolyte balance.
  2. urine studies reflect damage to the liver.
  3. tumors produce substances that are released into the blood and are called markers.
  4. Blood work will give the physician a profile of brain functioning.

Question 2

The nurse is assessing the pain of a client who is dying from cancer. During the pain assessment, the nurse should also assess the client's:
 
  1. living situation.
  2. emotional response to cancer.
  3. ability to pay for care.
  4. exercise program.

[coyin]

Answer to Question 1

Answer: 3

1. Cancer cells in the later stages can produce electrolytes by interrupting cell functioning, but this is not seen early.
2. Urine studies are not blood studies.
3. Tumors secrete substances into the blood known as markers, which can be assessed with blood studies.
4. Blood work will not give the physician a profile of brain function.

Answer to Question 2

Answer: 2

1. The nurse is focusing on the client's pain. The client's living arrangements are not a consideration at this time.
2. Cancer affects the client's emotional responses by causing fear and hopelessness, which can affect the client's level of pain.
3. The client's ability to pay does not directly affect pain.
4. The dying client is not likely to have an exercise program, especially one that affects the client's pain level.

[ts19998]

Excellent

[peter]

TYSM