Practice Question # 624.
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A nurse is admitting a client with gastric cancer to an oncology unit for treatment. The nurse knows that the cancer has metastasized to the peritoneal cavity when which item of assessment data is collected?Correct
Answer & Rationale:
The presence of ascites indicates seeding of the tumor in the peritoneal cavity. Nausea is a sign of gastric outlet obstruction or impending hemorrhage. Grey Turner’s sign is a symptom of pancreatitis. Weight loss is an initial sign of the disease.Incorrect
Answer & Rationale:
The presence of ascites indicates seeding of the tumor in the peritoneal cavity. Nausea is a sign of gastric outlet obstruction or impending hemorrhage. Grey Turner’s sign is a symptom of pancreatitis. Weight loss is an initial sign of the disease.
- Gastric cancer is a malignant growth of the mucosal cells in the inner lining of the stomach, with invasion to the muscle and beyond in advanced disease.
- No single causative agent has been identified but it is believed that Helicobacter pylori infection and a diet of smoked, highly salted, processed, or spiced foods have carcinogenic effects; other risk factors include smoking, alcohol and nitrate ingestion, and a history of gastric ulcers.
- Complications include hemorrhage, obstruction, metastasis, and dumping syndrome.
- The goal of treatment is to remove the tumor and provide a nutritional program.
Early symptoms of gastric cancer
- Abdominal discomfort
- Full feeling
- Epigastric, back, or retrosternal pain
Late symptoms of gastric cancer
- Weakness and fatigue
- Anorexia and weight loss
- Nausea and vomiting
- A sensation of pressure in the stomach
- Dysphagia and obstructive symptoms
- Iron deficiency anemia