A nurse is assessing a client who has a long history of smoking and is suspected of having laryngeal cancer. The nurse should anticipate that the client will report that her earliest manifestation was
Weight loss.
Hoarseness.
Dysphagia.
Dyspnea.
The Correct Answer is B
A. Weight loss can occur as laryngeal cancer progresses, but it is not typically an early sign.
B. Hoarseness is often the earliest and most common symptom of laryngeal cancer. It occurs due to the involvement of the vocal cords.
C. Dysphagia, or difficulty swallowing, may develop as the cancer advances, but it is not usually the initial symptom.
D. Dyspnea, or difficulty breathing, can occur if the tumor obstructs the airway, but it is generally a later manifestation of laryngeal cancer.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Instructing the client on the use of crutches is important but not as immediate as assessing for complications.
B. Performing neurovascular checks of the extremities is the most important action to identify complications such as compartment syndrome or impaired circulation.
C. Medicating the client for pain is important but secondary to monitoring for immediate postoperative complications.
D. Directing the client to perform exercises of the ankle and toes helps prevent complications but is not as critical as performing neurovascular assessments.
Correct Answer is B
Explanation
A. Learning to control impulsive behavior is more relevant for a right hemispheric CVA, which affects impulse control and judgment.
B. Establishing the ability to communicate effectively is crucial for a left hemispheric CVA, which often affects language and speech functions.
C. Compensating for loss of depth perception is related to right hemispheric CVA, which affects spatial awareness and perception.
D. Improving left-side motor function is important but secondary to addressing communication issues in a left hemispheric CVA where language deficits are a priority.
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