Question

The physician has scheduled a Whipple procedure for a client with pancreatic cancer. The nurse recognizes that the client's cancer is located in: A. The tail of the pancreas B. The head of the pancreas C. The body of the pancreas D. The entire pancreas

Short answer

Answer: B. The head of the pancreas

Step-by-step solution

Evaluate option A

The tail of the pancreas is not the part typically removed during a Whipple procedure. This option is not the correct answer.

Evaluate option B

The head of the pancreas is the part that is removed during a Whipple procedure, which is done for cancers located in this region. This option is the correct answer.

Evaluate option C

The body of the pancreas is not the focus during a Whipple procedure, as the procedure is performed to address cancers located in the head of the pancreas. This option is not the correct answer.

Evaluate option D

The entire pancreas is not removed during a Whipple procedure, as it focuses on cancers located in the head of the pancreas. This option is not the correct answer. So, based on the evaluation of the answer options, the correct answer is: B. The head of the pancreas

Key concepts

Understanding Pancreatic Cancer and the Whipple Procedure

Pancreatic cancer is a malignant neoplasm that originates in the tissues of the pancreas, an organ located behind the lower part of the stomach. One of the most common types of surgery used to treat pancreatic cancer is the Whipple procedure, also known as a pancreaticoduodenectomy. This invasive surgery is performed when the cancer is located in the head of the pancreas, the part closest to the duodenum.

The procedure involves the removal of the head of the pancreas, the first part of the small intestine (duodenum), the gallbladder, and a portion of the bile duct. Due to its complexity, nurses must be well-versed in preoperative and postoperative care to manage and monitor for complications such as infections, bleeding, or delayed gastric emptying.

For educational purposes, understand that pancreatic cancer can present symptoms like jaundice, weight loss, and abdominal pain. However, these symptoms often appear late, making early detection difficult. Risk factors for developing pancreatic cancer include smoking, chronic pancreatitis, and family history of the disease. Aspiring nurses should remember that timely diagnosis and treatment are critical in managing pancreatic cancer, and surgical interventions like the Whipple procedure are common in oncology nursing care.

NCLEX-PN Exam Preparation for Oncology Nursing

Preparing for the NCLEX-PN (National Council Licensure Examination for Practical Nurses) involves comprehensive study, especially in areas like oncology nursing. As cancer is a significant health issue, practical nurses must have foundational knowledge in this specialty.

Study tips for those preparing for the exam include:

• Familiarizing oneself with common cancers, treatments, and terminologies.
• Understanding surgical procedures, such as the Whipple procedure, and the nursing responsibilities that accompany them.
• Practicing with sample questions and scenario-based exercises related to oncology nursing.

It's crucial to have a grasp of both clinical skills and theoretical knowledge regarding cancer care. The NCLEX-PN will test candidates on their ability to make sound clinical decisions, including the care for patients undergoing cancer treatments. Therefore, emphasizing the study of treatment modalities, postoperative care, and potential complications of these treatments is essential.

Oncology Nursing Education

Oncology nursing education focuses on preparing nurses to deliver comprehensive care to cancer patients. It encompasses the understanding of various cancer types, stages, treatment modalities, and the implications of these treatments.

Key elements include:

• Thorough knowledge of cancer pathophysiology.
• Skills in administering chemotherapy and managing side effects.
• Understanding surgical interventions like the Whipple procedure.
• Providing emotional and psychological support to patients and their families.

For educators, it's imperative to teach students not only the technical skills but also the empathy and communication skills needed in oncology nursing. With patients often facing challenging prognoses, oncology nurses play a vital role in disease management and patient comfort. Continuous education and staying updated with the latest advancements in cancer treatment are paramount for oncology nurses, given the rapid pace at which the field evolves.