Results of a patient's preliminary assessment prompted an examination of the patient's carcinoembryonic antigen (CEA) levels, which have come back positive. What is the nurse's most appropriate response to this finding?
A) Perform a focused abdominal assessment.
B) Prepare to meet the patient's psychosocial needs.
C) Liaise with the nurse practitioner to perform an anorectal examination.
D) Encourage the patient to adhere to recommended screening protocols.
Ans: B
Feedback:
CEA is a protein that is normally not detected in the blood of a healthy person; therefore, when detected it indicates that cancer is present, but not what type of cancer is present. The patient would likely be learning that he or she has cancer, so the nurse must prioritize the patient's immediate psychosocial needs, not abdominal assessment. Future screening is not a high priority in the short term.
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