A nurse is caring for a client who was exposed to large amounts of pesticides and is exhibiting vague manifestations associated with this exposure. Which of the following manifestations could be an early vague sign of cancer?
Explanation & Rationale
A. Fever is typically associated with infection or inflammation rather than being an early, vague sign of cancer. It may occur later in the disease, particularly with hematologic cancers or if infection develops due to immunosuppression. B. Pain is usually a late symptom of cancer, occurring when tumors grow large enough to compress nerves, organs, or tissues. It is not considered an early vague sign. C. Weight loss is a common early, nonspecific manifestation of cancer. Unintentional weight loss may occur due to increased metabolic demands of tumor cells or changes in appetite and nutrient absorption. It is often one of the first indicators prompting further evaluation. D. Uncontrollable bleeding generally occurs in advanced stages of cancer, particularly hematologic malignancies, or with tumor invasion into blood vessels. It is not an early vague sign. E. Itching (pruritus) can be an early vague sign, especially in certain cancers like lymphomas or leukemia. It may result from biochemical changes, cytokine release, or immune responses associated with cancer development. F. Confusion is usually a late manifestation, often related to metastatic disease to the brain, metabolic imbalances, or paraneoplastic syndromes, rather than an early vague symptom.