For staging of head and neck cancer, which letter indicates whether cancer has spread to another part of the body?
M
D
T
N
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Exercising safe sex practices, especially in regard to human papillomavirus (HPV), is important because HPV is a known risk factor for head and neck cancers, particularly oropharyngeal cancers. Safe sex practices, including the use of barriers like condoms, can reduce the risk of HPV infection.
B. Reducing smoking to half a pack/day is still a significant risk factor for head and neck cancer. The best approach is to quit smoking completely, as even small amounts of tobacco use increase the risk of cancer.
C. Alcohol consumption is a known risk factor for head and neck cancer, particularly when combined with smoking. The nurse should educate the client to limit alcohol intake or avoid it altogether.
D. Using harsh toothpastes or mouthwashes does not significantly affect the risk of head and neck cancer. However, maintaining good oral hygiene is important for overall health.
Correct Answer is B
Explanation
A. Cheyne-Stokes breathing is characterized by periods of deep breathing followed by apnea and is often associated with conditions like heart failure or brain injury, not diabetic ketoacidosis (DKA).
B. Acetone odor to breath is a hallmark sign of diabetic ketoacidosis. The body breaks down fats for energy, producing ketones, which are released in the breath, giving it a fruity or acetone-like odor.
C. A blood glucose level below 40 mg/dL would indicate hypoglycemia, not DKA. In DKA, blood glucose levels are typically elevated (above 250 mg/dL).
D. Malignant hypertension refers to extremely high blood pressure with organ damage, and is not directly related to diabetic ketoacidosis.
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