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 D

Explanation

Choice A rationale
Lemon pepper fish might not be the best choice for a patient with GERD. Citrus fruits like lemon can trigger GERD symptoms, and spicy foods like pepper can also exacerbate GERD56.
Choice B rationale

Corned beef brisket is a fatty food, and fatty foods are known to worsen GERD symptoms. They can increase the production of stomach acid and delay stomach emptying, which can trigger GERD56.
Choice C rationale
Spaghetti with red sauce might not be a good choice for a patient with GERD. Tomato-based foods like red sauce can trigger GERD symptoms.
Choice D rationale
Baked turkey breast is a good choice for a patient with GERD. It’s a lean meat, and lean meats are low in fat and less likely to cause symptoms of acid reflux than fatty meats.

A. Folate B. Vitamin B12 C. Vitamin C D. Iron

Correct Answer is B

Explanation

Choice A rationale
Folate, also known as vitamin B9, is essential for many functions in the body, including cell growth and division, amino acid metabolism, and the formation of white and red blood cells. However, it is not the treatment for pernicious anemia.
Choice B rationale
Pernicious anemia is a condition where the body cannot absorb enough vitamin B12 in the small intestine, causing a drop in red blood cells. Treatment for pernicious anemia involves vitamin B12 injections or oral supplementation to restore levels to an optimal range, followed by continued injections or oral medications to maintain these levels.
Choice C rationale
Vitamin C is essential for the growth, development, and repair of all body tissues. It’s involved in many body functions, including the formation of collagen, absorption of iron, the immune system, wound healing, and the maintenance of cartilage, bones, and teeth. However, it is not the treatment for pernicious anemia.
Choice D rationale
Iron is a mineral that our bodies need for many functions. For example, iron is part of hemoglobin, a protein which carries oxygen from our lungs throughout our bodies. However, it is not the treatment for pernicious anemia.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing dietary advice to a patient who has GERD. Which of the following food choices by the patient would indicate an understanding of the advice?

Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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