Which finding is the most common indication of esophageal cancer?

Epigastric pain during swallowing

Regurgitation

Progressive dysphagia

Weight loss

Answer and Explanation

The Correct Answer is C

Choice A reason: Epigastric pain during swallowing can occur in esophageal cancer but is not the most common or specific symptom. It could be related to other conditions such as gastroesophageal reflux disease (GERD) or peptic ulcers.
Choice B reason: Regurgitation can be a symptom but is more commonly associated with GERD or other less serious esophageal conditions rather than being a primary indication of esophageal cancer.
Choice C reason: Progressive dysphagia, or difficulty swallowing that worsens over time, is the most common and specific symptom of esophageal cancer. It occurs as the tumor grows and gradually obstructs the esophagus, making swallowing increasingly difficult.
Choice D reason: Weight loss can occur in esophageal cancer but is not as specific as progressive dysphagia. It may be a secondary symptom resulting from difficulty swallowing and reduced food intake.

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Correct Answer is C

Explanation

Choice A reason: Cleaning the inside of the container with a wipe is not a part of the standard procedure for collecting a midstream urine sample. The focus should be on maintaining external cleanliness to avoid contamination of the sample, rather than cleaning the container itself.
Choice B reason: Urinating a little then stopping, while part of the process, is not enough information to indicate a complete understanding of the procedure. The more critical aspect is how the client cleans and collects the sample to ensure it is not contaminated.
Choice C reason: Using the cleansing wipe from front to back is the correct procedure for collecting a midstream urine sample. This method helps prevent contamination from bacteria that could be present around the genital area, ensuring a more accurate sample for analysis.
Choice D reason: Using each cleansing wipe twice is not advised. It can lead to contamination as the same wipe might transfer bacteria instead of eliminating them. It is essential to use a new wipe for each part of the cleaning process to maintain hygiene and ensure the accuracy of the urine sample.

A. Include foods high in fiber. B. Include foods high in starch and proteins. C. Avoid foods high in sodium. D. Avoid foods high in fat.

Correct Answer is D

Explanation

Choice A reason: Including foods high in fiber can be beneficial for overall digestive health, but it is not specifically targeted to managing biliary colic from chronic cholecystitis. The key dietary focus for these patients is to manage fat intake rather than fiber.
Choice B reason: Including foods high in starch and proteins does not directly address the dietary needs for managing biliary colic. While proteins and starches are part of a balanced diet, the critical factor for these patients is fat consumption.
Choice C reason: Avoiding foods high in sodium is generally good advice for cardiovascular health and can help reduce the risk of hypertension, but it is not specifically related to managing biliary colic.
Choice D reason: Avoiding foods high in fat is crucial for patients with chronic cholecystitis. High-fat foods can trigger biliary colic by stimulating the gallbladder to release bile, which can be painful when the bile ducts are inflamed or obstructed.

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Which finding is the most common indication of esophageal cancer?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse instructs a female client about collecting a midstream urine sample. Which of the following client statements indicates an understanding of the procedure?

Correct Answer is C

Explanation

A nurse is preparing dietary instructions for a client who has episodes of biliary colic from chronic cholecystitis. Which of the following instructions should the nurse include in the teaching plan?

Correct Answer is D

Explanation

A nurse is providing preoperative teaching to a client who is to undergo an open bowel resection at 1300 next week. Which of the following statements by the client indicates the need for further teaching?

A nurse is reviewing the laboratory results of a client who has liver failure with ascites and is receiving spironolactone. Which of the following findings should the nurse expect?

A nurse is providing teaching to a client who has a history of pancreatitis. Which of the following food choices should the nurse instruct the client to avoid?

A nurse is evaluating a client's laboratory results. The nurse should recognize that an increase in the client's prostate-specific antigen (PSA) laboratory value is indicative of which of the following diagnoses?

A nurse is teaching a client who has hepatitis A about preventing transmission of the virus. Which of the following strategies should the nurse include in the teaching?

A nurse is reviewing the laboratory data of a client who has acute pancreatitis. Which of the following values should the nurse expect to be elevated?

A nurse is caring for a client who has acute pancreatitis. After treating the client's pain, which of the following should the nurse address as the priority intervention?

A nurse is caring for a client who has prostate cancer and had a prostatectomy. Which of the following should the nurse understand is a potential complication of prostate surgery?