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 C

Explanation

A. An N-95 respirator is designed to filter out airborne particles and is used primarily for protection against airborne diseases such as tuberculosis or certain respiratory infections like COVID-19. It is not necessary for contact precautions unless there is also a risk of airborne transmission.

B. Goggles protect the eyes from splashes, sprays, or droplets of infectious material. They are not typically required for routine contact precautions unless there is a risk of splashes or sprays to the eyes.
C. Gloves are essential for contact precautions. They protect the nurse's hands from direct contact with potentially infectious material on the client's bed linen or any contaminated surfaces. Gloves should be worn when handling soiled linen and removed and discarded appropriately after use.
D. A face shield provides full-face protection against splashes, sprays, or splatters of infectious material. It is particularly useful when there is a risk of exposure to bodily fluids or during procedures that may generate splashes. While not always required for routine contact precautions, it may be used depending on the specific situation, such as when cleaning surfaces heavily contaminated with body fluids.

A. "I am unable to discuss this, but I can contact my supervisor to speak with you." B. "As a nurse, I am required by law to report suspected child abuse." C. "The provider will be coming to explain the situation." D. "I reported the incident to my supervisor who decided to contact the authorities."

Correct Answer is B

Explanation

A. This response acknowledges the parent's concern but maintains confidentiality regarding the report. It offers to involve the supervisor, which is a reasonable step. However, it may leave the parent feeling uneasy or uncertain.
B. This response directly informs the parent about the legal obligation of the nurse to report suspected child abuse. It provides clarity on why the nurse took action. However, it might be perceived as abrupt or lacking empathy.
C. This response suggests that someone else (possibly a healthcare provider or another authority figure) will explain the situation later. It doesn't directly address the reason for the nurse's action or the legal requirement to report.
D. This response explains the chain of events, from reporting to the supervisor's decision to contact authorities. It provides information but might not directly address the parent's emotional concern or the legal obligation of the nurse.

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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 changing the bed linen for a client who is on contact precautions. Which of the following personal protective equipment should the nurse wear?

Correct Answer is C

Explanation

A nurse reports an incident of suspected child abuse. One of the parents of the child becomes upset and demands to know the reason for the nurse's action. Which of the following responses by the nurse is appropriate?

Correct Answer is B

Explanation

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