A nurse is admitting a patient diagnosed with late-stage gastric cancer. The patient's family is distraught and angry that she was not diagnosed earlier in the course of her disease

What factor contributes to the fact that gastric cancer is often detected at a later stage?
A) Gastric cancer does not cause signs or symptoms until metastasis has occurred.
B) Adherence to screening recommendations for gastric cancer is exceptionally low.
C) Early symptoms of gastric cancer are usually attributed to constipation.
D) The early symptoms of gastric cancer are usually not alarming or highly unusual.


Ans: D
Feedback:
Symptoms of early gastric cancer, such as pain relieved by antacids, resemble those of benign ulcers and are seldom definitive. Symptoms are rarely a cause for alarm or for detailed diagnostic testing. Symptoms precede metastasis, however, and do not include constipation.

Nursing

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