For staging of head and neck cancer, which letter indicates whether cancer has spread to another part of the body?

Answer and Explanation

The Correct Answer is A

A. The letter "M" in cancer staging refers to metastasis, or whether cancer has spread to other parts of the body.
B. "D" is not part of the TNM staging system for cancer.
C. "T" in the TNM staging system refers to the size of the primary tumor and its extent in the tissue.
D. "N" refers to the extent of regional lymph node involvement but not metastasis to distant organs.

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Correct Answer is C

Explanation

A. Dumping syndrome is not related to the increased secretion of bile and pancreatic enzymes; it occurs when food passes too quickly from the stomach into the small intestine.
B. Dumping syndrome is not caused by a decrease in insulin secretion, but rather by rapid gastric emptying that can result in fluctuating blood sugar levels.
C. Dumping syndrome occurs when food moves too quickly from the stomach into the small intestine, causing a sudden release of insulin and other gastrointestinal symptoms, such as nausea, diarrhea, and dizziness.
D. While high-fat foods can be problematic for some gastric bypass patients, dumping syndrome is specifically related to rapid gastric emptying and not the inability to digest fat.

A. Position the head of the client's bed in the flat position. B. Provide humidity by maintaining moisture within the ventilator tubing. C. Turn the client every 4 hr. D. Brush the client's teeth with a suction toothbrush every 12 hr.

Correct Answer is C

Explanation

A. The head of the bed should be elevated to at least 30-45 degrees to help prevent aspiration and reduce the risk of ventilator-associated pneumonia (VAP). Flat positioning increases the risk of aspiration and subsequent pneumonia.
B. Humidification is important for preventing drying of the respiratory passages but does not directly reduce the risk of VAP.
C. Turning the client every 2 hours (not just 4) is a key practice to prevent VAP by improving lung expansion, promoting drainage, and reducing the risk of ventilator-associated pneumonia.
D. Oral care, including brushing the teeth, should be done more frequently than every 12 hours. The current guidelines recommend brushing the client's teeth every 4-6 hours and using suctioning as needed to prevent oral bacterial buildup that can lead to VAP.

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For staging of head and neck cancer, which letter indicates whether cancer has spread to another part of the body?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient who is scheduled for gastric bypass surgery asks for information about dumping syndrome. How does the nurse explain dumping syndrome?

Correct Answer is C

Explanation

A nurse is caring for a client who has an endotracheal tube and is receiving mechanical ventilation. Which of the following actions should the nurse take to reduce the risk of ventilator-associated pneumonia?

Correct Answer is C

Explanation

A nurse is caring for a client who has Cushing's syndrome. The nurse should recognize that which of the following are manifestations of Cushing's syndrome? (Select all that apply.)

A nurse is caring for a client who has Addison's disease and is at risk for Addisonian crisis. Which of the following actions should the nurse take?

The nurse assists a patient into which position in preparation for a diagnostic thoracentesis?

A nurse is assessing a client to identify risk factors for disease. Which of the following findings is a risk factor for metabolic syndrome?

A nurse is caring for a client who has asthma and allergies. The client asks the nurse about environmental influences they should avoid. The nurse should inform the client to avoid which of the following?

A patient's status post hypophysectomy had drainage on the mustache dressing. Which complication is this patient at risk for if the glucose level of the drainage is 50 mg/dL?

The nurse suspects which cause of increased bubbling in the water seal chamber of a patient's chest drainage unit?