Exam 1: Colon Cancer Questions with 100% Correct Answers

-Family history -Personal history -Smoking -Alcohol -Rectal bleeding -Change in bowel habits What are some of the risk factors and symptoms of colon cancer? Stage 1 Stage ___ tumors are treated with the removal of the tumor and at least 5 cm of intestine on either side of the tumor, plus the removal of nearby lymph nodes. AD Stage II Stage ____ tumors are treated with wide resection and reanastomosis, and chemotherapy Stage III Stage ____ tumors are treated with surgery and chemotherapy. Stage IV Once the tumor has become Stage ___, the treatment revolves around controlling the spread and providing pain relief. Colostomy Surgery can be combined with chemotherapy and radiation to shrink the tumor. The less colon that has to be removed, the greater the chance is of being able to reverse a __________. 50 It should be taught that colonoscopy procedures should be done at age ____. c A patient with stage 1 colorectal cancer is scheduled for surgery. Patient teaching for this patient would include an explanation that a. chemotherapy will begin after the patient recovers from the surgery b. both chemotherapy and radiation can be used as palliative treatments c. follow-up colonoscopies will be needed to ensure that the cancer does not recur d. a wound, ostomy, and continence nurse will visit the patient to identify any abdominal site for the ostomy a The nurse determines a patient undergoing ileostomy surgery understands the procedure when the patient states a. "I should only have to change the pouch every 4 to 7 days" b. "The drainage in the pouch will look like my normal stools" c. "I may not need to wear a drainage pouch if I irrigate it daily" d. "Limiting my fluid intake should decrease the amount of output" b In contrast to diverticulitis, the patient with diverticulosis a. has rectal bleeding b. often has no symptoms c. has localized cramping pain d. frequently develops peritonitis a The nurse is conducting discharge teaching for a patient with metastatic lung cancer who was admitted with a bowel impaction. Which instructions would be most helpful to prevent further episodes of constipation? a. Maintain a high intake of fluid and fiber in the diet. b. Discontinue intake of medications causing constipation. c. Eat several small meals per day to maintain bowel motility. d. Sit upright during meals to increase bowel motility by gravity. b The nurse is developing a plan of care for a patient with an abdominal mass and suspected bowel obstruction. Which factor in the patient's history does the nurse recognize as increasing the patient's risk for colorectal cancer? a. Osteoarthritis b. History of colorectal polyps c. History of lactose intolerance d. Use of herbs as dietary supplements AD b The nurse identifies that which patient is at highest risk for developing colon cancer? a. A 28-yr-old man who has a body mass index of 27 kg/m2 b. A 32-yr-old woman with a 12-year history of ulcerative colitis c. A 52-yr-old man who has followed a vegetarian diet for 24 years d. A 58-yr-old woman taking prescribed estrogen replacement therapy c A patient is planned for discharge home today after ostomy surgery for colon cancer. The nurse should assign the patient to which staff member? a. A nursing assistant on the unit who also has hospice experience b. A licensed practical nurse that has worked on the unit for 10 years c. A registered nurse with 6 months of experience on the surgical unit d. A registered nurse who has floated to the surgical unit from pediatrics Adenocarcinoma What is the most common type of colorectal cancer? Stage 0 Stage of Colorectal Cancer: Cancer has not grown beyond the inner layer of the colon wall Stage 1 Stage of Colorectal Cancer: The cancer has growth to the outer layer of the colon wall Stage 2 Stage of Colorectal Cancer: The tumor is through the colon wall, but has not spread to lymph nodes Stage 3 Stage of Colorectal Cancer: The tumor has spread through the colon wall, and has now spread to the lymph nodes Stage 4 Stage of Colorectal Cancer: The tumor has spread to distant sites in the body such as the liver and lung Bowel One of the most important end goals for colorectal cancer is to have the patient return to normal ______ elimination patterns 10 Colonoscopies should be done every _____ years AD Liver Lungs Bone Brain Regional Lymph Nodes What are the 5 most common sites for metastasis? LLBBR Perineal An abdominal ___________ resection is a surgery that removes the entire rectum containing the tumor, which leaves the patient with a colostomy Anterior A lower __________ resection is a procedure that removes the rectum and anastomoses the colon to the anal canal. This requires the use of a colostomy or ileostomy Polypectomy This term describes a procedure done during a colonoscopy that can resect a colorectal cancer in situ