A client comes to the clinic complaining of dysphagia and states that "he feels like food is stuck in his throat." The physician suspects esophageal cancer. Which of the following is a risk factor for esophageal cancer?

Family history of esophageal cancer

Consuming a diet high in glucose

Irregular exercise

Smoking tobacco

Answer and Explanation

Correct Answer : A,D

A. A family history of esophageal cancer is a known risk factor. Genetic factors can increase the likelihood of developing esophageal cancer, especially if close family members have had the condition.
B. A diet high in glucose is not specifically associated with an increased risk of esophageal cancer. However, poor dietary habits in general, such as a high intake of processed foods or low fiber, can contribute to other health issues.
C. Irregular exercise is not a major risk factor for esophageal cancer. However, a lack of physical activity can contribute to overall health problems, including obesity, which is a known risk factor for some cancers.
D. Smoking tobacco is a significant risk factor for esophageal cancer. Smoking can damage the esophagus and increase the risk of developing both squamous cell carcinoma and adenocarcinoma of the esophagus.

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Correct Answer is []

Explanation

Rationale

The nurse should administer a bronchodilator and prepare the client for intubation because the client is likely experiencing respiratory acidosis and respiratory distress. The nurse should then monitor for the correct placement of the ETT following intubation as well as the client's arterial blood gases to normalize.

A. Total loss of gastric enzymes B. Excess secretion of digestive enzymes in the intestines C. Rapid emptying of stomach contents into the small intestine D. Excess glycogen production by the liver

Correct Answer is C

Explanation

A. Total loss of gastric enzymes is not a primary cause of dumping syndrome. While gastric enzymes may be reduced following gastric surgery, the syndrome is primarily related to the way food moves through the digestive tract.
B. Excess secretion of digestive enzymes in the intestines does not directly cause dumping syndrome. Although enzyme levels can be affected by surgery, dumping syndrome is more about the timing and volume of food delivery to the intestines.
C. Rapid emptying of stomach contents into the small intestine is the primary cause of dumping syndrome. This occurs because the normal regulatory mechanisms of the stomach are bypassed or disrupted after gastric resection, leading to a quick shift of food into the small intestine, which causes symptoms like nausea, diarrhea, and dizziness.
D. Excess glycogen production by the liver is not related to dumping syndrome. This would be more relevant to conditions affecting glucose metabolism, not gastrointestinal emptying.

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A client comes to the clinic complaining of dysphagia and states that "he feels like food is stuck in his throat." The physician suspects esophageal cancer. Which of the following is a risk factor for esophageal cancer?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is []

Explanation

As a result of gastric resection, the client is at risk for developing dumping syndrome. The nurse should prepare a plan of care for this client based on knowledge that this problem stems primarily from which of the following gastrointestinal changes?

Correct Answer is C

Explanation

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