The nurse monitors for which clinical manifestation of metastasis to the liver in the patient diagnosed with esophageal cancer?

Dysphagia

Jaundice

Emesis

Hypercalcemia

Answer and Explanation

The Correct Answer is B

A. Dysphagia is a common symptom of esophageal cancer itself, not necessarily a sign of liver metastasis. Dysphagia occurs due to the tumor obstructing the esophagus.

B. Jaundice, characterized by a yellowing of the skin and sclera, can indicate liver dysfunction or metastasis to the liver. When cancer spreads to the liver, it can disrupt its normal functioning, leading to an accumulation of bilirubin in the body, causing jaundice.

C. Vomiting can occur in esophageal cancer due to obstruction or in advanced stages of the disease, but it is not a direct sign of metastasis to the liver.

D. Hypercalcemia can occur in some cancers, but it is not a typical manifestation of liver metastasis from esophageal cancer. It is more commonly seen in cancers such as breast, lung, or multiple myeloma.

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Correct Answer is B

Explanation

A. Monitoring urine output every two hours is not specifically required following the insertion of a permanent pacemaker. While urine output should be monitored as part of routine care, it is not directly related to the procedure.
B. Immobilizing the affected arm using a sling is a key intervention to prevent movement of the arm and ensure that the pacemaker leads are not displaced. This is important in the immediate postoperative period to reduce the risk of complications.
C. Teaching the client how to change the pacemaker dressing is typically not done immediately following insertion. The dressing is usually managed by the healthcare team in the early postoperative period until the site is sufficiently healed.
D. Arranging for ancillary personnel to feed the client is not a routine intervention following pacemaker insertion unless the client has specific limitations related to the procedure or recovery. The priority is to focus on the post-procedure care for the pacemaker.

A. Lactated Ringers intravenous fluid B. Metoprolol C. Epinephrine D. Dopamine E. Furosemide

Correct Answer is A

Explanation

A. Neurogenic shock is characterized by hypotension due to loss of sympathetic tone, leading to vasodilation. Intravenous fluids like Lactated Ringers are commonly prescribed to increase blood volume and support blood pressure.
B. Metoprolol is a beta-blocker, which reduces heart rate and blood pressure. It would not be used in neurogenic shock, where the goal is to improve blood pressure and cardiac output.
C. Epinephrine is a vasopressor and can be used to help increase blood pressure and heart rate in shock states, including neurogenic shock. It helps in vasoconstriction and improving perfusion.
D. Dopamine is another vasopressor and inotropic agent that can be used to improve blood pressure and cardiac output in neurogenic shock. It works by stimulating the heart and constricting blood vessels.
E. Furosemide is a diuretic, and would not typically be used in neurogenic shock. In fact, it may worsen hypoperfusion by decreasing circulating blood volume. Diuretics are usually used for conditions like heart failure or fluid overload, not shock management

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The nurse monitors for which clinical manifestation of metastasis to the liver in the patient diagnosed with esophageal cancer?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client immediately following the insertion of a permanent pacemaker. Which intervention should be included in the plan of care?

Correct Answer is B

Explanation

A nurse is planning care for a client who has neurogenic shock following a spinal cord injury. Which of the following provider prescriptions should the nurse anticipate? (Select all that apply.)

Correct Answer is A

Explanation

The nurse assessing the client diagnosed with Parkinson's disease (PD) would expect which of the following assessment findings?

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