NCLEX RN Practice Question # 572

NCLEX Examination.

Practice Question # 572.


 

Nclex

PANCREATIC CANCER

Description

  • Most pancreatic tumors are highly malignant, rapidly growing adenocarcinomas originating from the epithelium of the ductal system.
  • Pancreatic cancer is associated with increased age, a history of diabetes mellitus, alcohol use, history of previous pancreatitis, smoking, ingestion of a high-fat diet, and exposure to environmental chemicals.
  • Symptoms usually do not occur until the tumor is large; therefore, the prognosis is poor.
  • Endoscopic retrograde cholangiopancreatography for visualization of the pancreatic duct and biliary system and collection of tissue and secretions may be done.

Pancreatic Cancer

Assessment

  • Nausea and vomiting
  • Jaundice
  • Unexplained weight loss
  • Clay-colored stools
  • Glucose intolerance
  • Abdominal pain

Interventions

  • Radiation
  • Chemotherapy
  • Whipple procedure, which involves a pancreaticoduodenectomy with removal of the distal third of the stomach, pancreaticojejunostomy, gastrojejunostomy, and choledochojejunostomy.
  • Postoperative care measures and complications are similar to those for the care of a client with pancreatitis and the client following gastric surgery; monitor blood glucose levels for transient hyperglycemia or hypoglycemia resulting from surgical manipulation of the pancreas.

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