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 D
Explanation
A. Flex the client’s hip is incorrect. Flexing the hip can increase intra-abdominal pressure and potentially increase intracranial pressure.
B. Hyperextend the client’s neck is incorrect. Hyperextension of the neck can interfere with venous return from the brain and increase ICP.
C. Provide warming measures for the client is incorrect. Warming measures are not indicated for a low CPP; maintaining normothermia is important, but warming is not the priority action.
D. Adjust the client’s head of bed is correct. Elevating the head of the bed helps reduce ICP and improves cerebral perfusion by promoting venous outflow.
Correct Answer is B
Explanation
A. The footplate keeps the client from sliding down in bed is not the primary function of the footplate in Buck’s traction.
B. The footplate helps to prevent foot drop by maintaining proper alignment of the foot and leg in Buck’s traction.
C. The footplate works to anchor the traction is incorrect; traction is anchored by weights and pulleys, not the footplate.
D. The footplate prevents pressure sores on the heel is not the primary purpose of the footplate in Buck's traction.
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