A nurse is assessing a client who has a long history of smoking and suspected of having laryngeal cancer. The nurse should anticipate that the client will report that her earliest manifestation was

hoarseness.

dysphagia.

weight loss.

dyspnea.

Answer and Explanation

The Correct Answer is A

A.   Hoarseness or changes in voice quality is one of the hallmark symptoms of laryngeal cancer. It occurs due to the tumor affecting the vocal cords or surrounding structures. Hoarseness is often persistent and does not resolve with voice rest or usual treatments for laryngitis.
B.   Dysphagia, or difficulty swallowing, can occur in laryngeal cancer, especially if the tumor affects the structures involved in swallowing. However, dysphagia typically occurs later in the course of the disease as the tumor grows and obstructs the passage of food or liquids.
C.   Weight loss can be a symptom of advanced laryngeal cancer but is less commonly reported as an early manifestation. Significant weight loss may occur as a result of difficulty eating due to dysphagia or as a generalized effect of cancer on the body.
D.   Dyspnea, or difficulty breathing, is not typically an early manifestation of laryngeal cancer unless the tumor is large and obstructs the airway. It is more commonly associated with advanced disease or tumors that have spread to nearby structures.

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Correct Answer is D

Explanation

A. Catheter irrigation involves flushing the catheter with a sterile solution to clear any obstruction within the tubing or catheter itself. It can help in cases where there might be clots obstructing urine flow. However, irrigating the catheter is an intervention that requires proper assessment and order from the healthcare provider.
B. This option suggests adjusting the rate of the bladder irrigant, which typically refers to the irrigation solution used during the TURP procedure to maintain catheter patency and prevent clot formation. However, this action requires assessment of the situation and potential orders from the provider.
C. Notifying the provider is often the first action the nurse should take when encountering a significant change in the client's condition or a potential complication, such as a blocked catheter. The provider needs to be informed so they can assess the situation, provide further orders, and decide on the appropriate course of action to manage the urinary retention effectively.
D. Checking the tubing for kinks or other external obstructions is a prudent initial action. Kinks or twists in the catheter tubing can prevent urine from draining properly. If a kink is identified, it can be corrected immediately, allowing urine to flow freely again.

Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"E"}

Explanation

The client reports symptoms of vomiting and diarrhea for the past 12 hours. These symptoms are classic indicators of fluid loss from the gastrointestinal tract. Vomiting and diarrhea lead to significant fluid depletion, resulting in a fluid volume deficit. This deficit can lead to dehydration, electrolyte imbalances, and potentially hypotension (low blood pressure), which are consistent with the client's clinical presentation of tachycardia (increased heart rate) and hypotension (blood pressure 102/58 mmHg). The plan for IV fluid replacement upon admission reflects the need to address and correct this fluid deficit.

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A nurse is assessing a client who has a long history of smoking and suspected of having laryngeal cancer. The nurse should anticipate that the client will report that her earliest manifestation was

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is 5 hr postoperative following a transurethral resection of the prostate (TURP). The nurse notes that the client's indwelling urinary catheter has not drained in the past hour. Which of the following actions should the nurse take first?

Correct Answer is D

Explanation

A nurse in the emergency department is caring for a client. Exhibits Drag 1 condition and 1 client finding to fill in each blank in the following sentence. The client is at risk for developing Exhibits due to dropdown

Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"E"}

Explanation

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