A client has esophageal cancer.Which intervention by the nurse takes priority?

Allowing grieving

Preventing aspiration

Managing pain relief

Maintaining nutritional intake

Answer and Explanation

The Correct Answer is B

Choice A rationale
While allowing grieving is an important aspect of holistic care for a client with esophageal cancer, it is not the priority nursing intervention. Emotional support and counseling are crucial, but they do not take precedence over interventions aimed at maintaining the client’s physical health.
Choice B rationale
Preventing aspiration is the priority nursing intervention for a client with esophageal cancer. Aspiration, or the inhalation of food, stomach acid, or saliva into the lungs, can lead to pneumonia and other serious complications. Therefore, measures to prevent aspiration, such as educating the client on safe swallowing techniques, elevating the head of the bed during meals, and monitoring for signs of aspiration, are crucial.
Choice C rationale
Managing pain relief is an important aspect of care for a client with esophageal cancer, but it is not the priority nursing intervention. Pain management strategies, such as administering prescribed analgesics and providing comfort measures, are part of a comprehensive care plan

but do not take precedence over interventions aimed at preventing immediate life-threatening complications like aspiration.
Choice D rationale
Maintaining nutritional intake is an important aspect of care for a client with esophageal cancer, but it is not the priority nursing intervention. Nutritional support, such as providing a balanced diet, encouraging small frequent meals, and possibly arranging for a consultation with a dietitian, are important but do not take precedence over interventions aimed at preventing immediate life-threatening complications like aspiration.

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Correct Answer is C

Explanation

Choice A rationale
Aspartate aminotransferase (AST) is an enzyme that is found in various tissues, including the liver. Elevated levels of AST can indicate liver damage or disease.
Choice B rationale
Albumin is a protein that is made by the liver. It helps keep fluid in the bloodstream so it doesn’t leak into other tissues. Low levels of albumin can indicate liver disease.
Choice C rationale
Lipase is an enzyme that is produced by the pancreas and used in the digestion of fats. It is not a marker of liver function.
Choice D rationale

Alanine transaminase (ALT) is an enzyme found mostly in the cells of the liver and kidney. Much like AST, high levels of ALT can indicate liver damage or disease.

A. Development of gastric ulcers B. Perforation of the esophagus, stomach, or duodenum C. Allergic reaction to the sedation medication D. Infection at the site of the procedure

Correct Answer is B

Explanation

Choice A rationale
Development of gastric ulcers is not a common complication of an esophagogastroduodenoscopy (EGD) procedure. Gastric ulcers are typically caused by factors such as Helicobacter pylori infection or long-term use of nonsteroidal anti-inflammatory drugs (NSAIDs), not by the EGD procedure itself.
Choice B rationale
Perforation of the esophagus, stomach, or duodenum is a potential complication of an EGD procedure. During an EGD, a flexible tube with a camera is inserted through the mouth and down into the gastrointestinal tract. If the tube accidentally punctures or tears the lining of the esophagus, stomach, or duodenum, it can cause a perforation. This is a serious complication that requires immediate medical attention.
Choice C rationale
While allergic reactions to the sedation medication used during an EGD procedure can occur, they are not a direct complication of the EGD procedure itself. Allergic reactions would be related to the specific medication used for sedation and not the procedure.
Choice D rationale
Infection at the site of the procedure is not a common complication of an EGD. The procedure is performed using aseptic technique to minimize the risk of infection.

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A client has esophageal cancer.Which intervention by the nurse takes priority?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The Health Care Provider orders a blood test for your patient. The nurse knows that which of the following enzymes does not indicate liver function?

Correct Answer is C

Explanation

A patient is post esophagogastroduodenoscopy (EGD) and recovering in the GI Suite. What potential complication of an esophagogastroduodenoscopy (EGD) procedure should the nurse be aware of?

Correct Answer is B

Explanation

A nurse is collecting data from a client in the health clinic who is reporting epigastric pain. Which of the following statements made by the client should the nurse identify as being consistent with peptic ulcer disease?

The nurse instructs a client prescribed omeprazole for peptic ulcer disease about the use of the medication. Which patient statements indicate understanding of the instructions? (Select all that apply.)

A client presents to the emergency department with severe abdominal pain. The client’s history reveals a previous diagnosis of peptic ulcer disease. What should the nurse do?

Which of the following statements by the patient would indicate a correct understanding of peptic ulcer disease?

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