Emily, a 63-year-old woman with a history of smoking and hypertension, presents with hoarseness that has persisted for two months, weight loss, and dysphagia. She is taking Lisinopril for her hypertension. A biopsy confirms squamous cell carcinoma of the larynx. Which of the following steps are appropriate? Select all that apply
Schedule her for a radical neck dissection.
Initiate radiation therapy.
Discontinue Lisinopril and initiate a diuretic.
Administer a PET scan.
Provide dietary counseling for weight management.
Correct Answer : B,D,E
A. Radical neck dissection is a surgical procedure that removes the lymph nodes and other structures in the neck, and it is usually reserved for advanced cases or when radiation therapy fails.
B. Radiation therapy is often the main treatment for laryngeal cancer, as it can preserve the voice of the patient and avoid surgery.
C. Lisinopril is an angiotensin-converting enzyme (ACE) inhibitor that can cause a dry cough as a side effect, but it does not need to be discontinued unless there is another indication.
D. A PET scan can help determine the extent of cancer spread and guide treatment planning.
E. Dietary counseling is important to prevent malnutrition and dehydration, as dysphagia can impair oral intake.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. While impaired mucociliary clearance can contribute to respiratory symptoms in COPD, it is not directly reflected in the PaCO2 level.
B. In COPD, the respiratory drive can be blunted, leading to inadequate response to elevated PaCO2 levels by the chemoreceptors.
C. Reflex bronchoconstriction may occur in response to various stimuli but is not directly related to the PaCO2 level.
D. Filtration of air primarily refers to the removal of particulate matter and pathogens by the respiratory system and is not directly related to PaCO2 levels.
Correct Answer is B
Explanation
A. While pain management and assessing for skin injuries are important, prioritizing assessments related to bleeding risk due to anticoagulant therapy is crucial.
B. These assessments help evaluate Sarah's coagulation status and bleeding risk, given her anticoagulant therapy and recent injury.
C. While these interventions may help manage swelling and pain, they do not directly address Sarah's increased bleeding risk.
D. Heat application may increase bleeding risk, and acetaminophen alone may not address potential bleeding complications.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.