A nurse is teaching a health promotion class about preventing cancer. Which statement by a client indicates understanding of gastric cancer risk factors?

"I should switch from regular to decaffeinated coffee to reduce my risk of gastric cancer."

"I should decrease eating salted, smoked, processed foods to reduce my risk of gastric cancer."

"I need to decrease fiber from my diet to reduce my risk of gastric cancer."

"I have been lactose-intolerant for many years, so I should have a yearly test for gastric cancer."

Answer and Explanation

The Correct Answer is B

A. Switching from regular to decaffeinated coffee does not significantly impact gastric cancer risk. The main dietary risk factors include high intake of salted, smoked, and processed foods, not caffeine consumption.
B. Consuming large amounts of salted, smoked, and processed foods has been shown to increase the risk of gastric cancer. These foods contain nitrates and nitrites, which can be converted into cancer-causing compounds in the stomach.
C. High-fiber diets are generally protective against gastrointestinal cancers, including gastric cancer, rather than increasing the risk. A reduction in fiber intake could contribute to other gastrointestinal problems.
D. Lactose intolerance is not a known risk factor for gastric cancer. Regular testing for gastric cancer is not necessary for people who are lactose-intolerant unless they have additional risk factors, such as a family history of gastric cancer.

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Correct Answer is C

Explanation

A. While being alert for non-verbal clues for pain or discomfort is important, it does not directly address the risk for ineffective airway clearance.
B. Answering for the client during rounds with the physician may compromise the client's ability to communicate their needs and concerns, which is not appropriate.
C. Assessment of the ability to cough and swallow is crucial for clients who have undergone oral surgery, as it directly relates to their airway clearance and safety in managing secretions.
D. Providing enough time for the client to respond is important for overall communication and comfort but does not specifically address the risk for ineffective airway clearance, which requires more targeted interventions.

A. contribute to the medical diagnosis of the client. B. provide a baseline assessment against which to evaluate changes in function. C. plan care to protect the client from falls/injury. D. anticipate other neurologic deficits that may arise.

Correct Answer is C

Explanation

A. Contributing to the medical diagnosis is a secondary goal for nursing care. The nurse's primary role is to ensure patient safety and prevent complications such as falls, which are more likely in patients with sensory and motor impairments.
B. While establishing a baseline for future comparison is important, it is not the most immediate concern. The nurse's priority is preventing falls and injury related to the impairment.
C. The priority in this case is to protect the client from falls or injury, as impaired motor and sensory function in the lower extremities increases the risk for accidents. Preventing injury will guide the development of the care plan, such as implementing fall precautions.
D. Anticipating other neurologic deficits is valuable but not the most urgent concern compared to protecting the client from the immediate risk of falls.

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A nurse is teaching a health promotion class about preventing cancer. Which statement by a client indicates understanding of gastric cancer risk factors?

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Naxlex Comprehensive Predictor Exams

A client problem of Risk for Ineffective Airway Clearance has been made for a client who has undergone surgery for oral cancer. What should the nurse include in the plan of care?

Correct Answer is C

Explanation

The nurse determines through neurologic testing that a patient has sensory and motor impairment of bilateral lower extremities. The most important reason to assess for this in the client is to:

Correct Answer is C

Explanation

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