Explain the difference in presentation of a right-sided from a left-sided colon cancer
What will be an ideal response?
Right-sided colon cancer: The proximal half of the colon has a larger caliber compared to the distal half. Carcinoma in the colonic wall does not cause obstruction. However, it can ulcerate and bleed, leading to chronic iron deficiency anemia and the associated symptoms of fatigue and weakness.
Left-sided colon cancer: Distal portion of the bowel has a smaller caliber; a carcinoma in the colonic wall can cause obstruction and passage of goat stool-like stools.
You might also like to view...
Anticipatory guidance for the family of a preadolescent with a cognitive dysfunction should include information about:
a. institutional placement. b. sexual development. c. sterilization. d. clothing.
A client diagnosed with COPD says, "I don't see why I need to stop smoking. The damage to my lungs is already done." How should the nurse respond to this statement?
1. "If you stop smoking now your COPD may not get worse as fast." 2. "If you stop smoking, your lungs will get better pretty quickly." 3. "Your symptoms might not be as bad if you aren't smoking." 4. "You are probably correct, but you should at least try." 5. "If I were you, I would enjoy what time I have left."
The patient with which of the following is most at risk for folic acid deficiency?
a. Alcoholism b. Sprue c. Gastrectomy d. Peptic ulcer disease
Which purpose of the evaluation phase of the nursing process is a priority during client care?
A) Examine the client's behavioral response to the care received. B) Provide basis for the revision of plan of care. C) Monitor the quality and effects of the nursing care. D) Appraise collaboration of the client and family.