Podcast
Questions and Answers
Which of the following is a characteristic of colorectal cancer?
Which of the following is a characteristic of colorectal cancer?
- Typically slow growing; most in rectum, sigmoid colon (correct)
- Rapidly progressing with early, severe symptoms
- Typically fast growing, most often in the small intestine
- Primarily affects individuals under the age of 40
What is a significant risk factor associated with the development of colorectal cancer?
What is a significant risk factor associated with the development of colorectal cancer?
- Regular physical activity and maintaining a healthy weight
- High intake of fruits and vegetables with minimal red meat consumption
- History of a diet high in fat, high meat proteins, high calorie, low fiber (correct)
- A diet high in fiber and low in processed foods
The development of colorectal cancer often involves the transformation of what type of precursors?
The development of colorectal cancer often involves the transformation of what type of precursors?
- Amyloid plaques
- Adenomatous (adenocarcinoma) polyps (correct)
- Granulomas
- Cysts
A client is scheduled for a colonoscopy due to a family history of colorectal cancer. How often are colonoscopies recommended for average-risk screening?
A client is scheduled for a colonoscopy due to a family history of colorectal cancer. How often are colonoscopies recommended for average-risk screening?
Which of the following signs or symptoms is a common clinical manifestation of colorectal cancer?
Which of the following signs or symptoms is a common clinical manifestation of colorectal cancer?
What is the primary rationale for recommending regular colorectal cancer screenings starting at age 45?
What is the primary rationale for recommending regular colorectal cancer screenings starting at age 45?
Which surgical procedure involves the removal of a portion of the colon?
Which surgical procedure involves the removal of a portion of the colon?
For a patient undergoing treatment for colorectal cancer, what nursing intervention is most important in managing potential complications and improving quality of life?
For a patient undergoing treatment for colorectal cancer, what nursing intervention is most important in managing potential complications and improving quality of life?
Which screening method is typically performed annually to detect colorectal cancer?
Which screening method is typically performed annually to detect colorectal cancer?
What is the definition of a hemicolectomy?
What is the definition of a hemicolectomy?
Which of the following is NOT a common site for colorectal cancer metastasis?
Which of the following is NOT a common site for colorectal cancer metastasis?
After a patient undergoes a colostomy, what is a key aspect of nursing care regarding the stoma?
After a patient undergoes a colostomy, what is a key aspect of nursing care regarding the stoma?
Besides surgery, what other treatments are typically utilized to treat colorectal cancer?
Besides surgery, what other treatments are typically utilized to treat colorectal cancer?
If a patient's colorectal cancer is classified as Stage IV, what does this indicate about the cancer's progression?
If a patient's colorectal cancer is classified as Stage IV, what does this indicate about the cancer's progression?
A patient with a family history of colorectal cancer asks when they should begin regular screenings. What is the generally recommended age for those at average risk?
A patient with a family history of colorectal cancer asks when they should begin regular screenings. What is the generally recommended age for those at average risk?
What dietary recommendation is typically given to patients to potentially reduce their risk of developing colorectal cancer?
What dietary recommendation is typically given to patients to potentially reduce their risk of developing colorectal cancer?
Which of the following groups has the highest incidence of developing colorectal cancer?
Which of the following groups has the highest incidence of developing colorectal cancer?
Which of the following describes the primary goal of chemotherapy and biologic/targeted therapy in treating colorectal cancer?
Which of the following describes the primary goal of chemotherapy and biologic/targeted therapy in treating colorectal cancer?
After a colon resection, what is the purpose of anastomosis?
After a colon resection, what is the purpose of anastomosis?
What is a flexible sigmoidoscopy and how often is it recommended as acceptable screening for colon cancer?
What is a flexible sigmoidoscopy and how often is it recommended as acceptable screening for colon cancer?
Flashcards
Colorectal Cancer Etiology
Colorectal Cancer Etiology
The third most common cancer in the US, developing slowly and more prevalent in men than women.
Colorectal Cancer Pathophysiology
Colorectal Cancer Pathophysiology
Typically slow-growing, often in the sigmoid colon; few early symptoms; adenomatous polyps can develop into adenocarcinomas.
Colorectal Cancer Risk Factors
Colorectal Cancer Risk Factors
High fat, high meat protein, low fiber diets, smoking, history of inflammatory bowel disease/polyps, African American ethnicity, male gender, and age over 50.
Colorectal Cancer Signs
Colorectal Cancer Signs
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Colorectal Cancer Screening
Colorectal Cancer Screening
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Colorectal Cancer Treatment
Colorectal Cancer Treatment
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Resection and Anastomosis
Resection and Anastomosis
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Hemicolectomy
Hemicolectomy
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Colostomy
Colostomy
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Nursing Interventions for Colorectal Cancer
Nursing Interventions for Colorectal Cancer
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Study Notes
- Nursing care of the patient with colorectal cancer
Colorectal Cancer Etiology
- Colorectal cancer is the third most common cancer diagnosed in the US.
- The cancer develops slowly.
- Occurrence is higher in men than women.
Colorectal Cancer Pathophysiology
- Colorectal cancer is typically slow growing, found in the rectum and sigmoid colon.
- Few symptoms appear in early stages.
- Adenomatous (adenocarcinoma) polyps can develop into adenocarcinomas.
- Metastasis occurs in the lymph nodes, liver, lung, brain and bone.
Colorectal Cancer Risk Factors
- Diet: high fat, high meat proteins, high calorie, low fiber
- Smoking
- History of inflammatory bowel disease
- History of polyps
- Family history
- Ethnicity: African-American
- Gender: 30-40% higher in men
- Age: common after age 50
Colorectal Cancer Clinical Manifestations
- Clinical manifestations often do not appear until the cancer reaches an advanced stage.
- Rectal bleeding can occur.
- Unintentional weight loss is another manifestation.
- Changes in bowel habits.
- Cramping, pain, and anorexia
Colorectal Cancer Health Screening
- Regular screening should begin at age 45 for patients at low or average risk for colon cancer.
- Acceptable screening options include:
- Yearly fecal occult blood test
- Flexible sigmoidoscopy every 5 years
- Colonoscopy every 10 years
- CT colonography every 5 years
Colorectal Cancer - Treatment
- Treatments include surgery, radiation and chemotherapy/biologic and targeted therapy.
- Surgical options:
- Resection and anastomosis
- Hemicolectomy
- Colostomy
Colorectal Cancer - Caring Interventions
- Provide emotional support.
- Pain control
- Patient education
- Follow up
- Ostomy care/ skin integrity
- Possible Risk for sexual dysfunction
- Diet changes
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