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 B

Explanation

Choice A reason: Intake and output are important for overall fluid balance but do not directly measure the reduction in ascites after a paracentesis.
Choice B reason: Measuring abdominal girth provides a direct and specific indication of the volume of fluid removed from the peritoneal cavity. A decrease in abdominal girth indicates that the procedure effectively reduced the ascites.
Choice C reason: Blood pressure can be influenced by many factors and does not specifically measure the outcome of a paracentesis.
Choice D reason: Cardiac output is related to heart function and is not a direct measure of the success of a paracentesis in removing ascitic fluid.

A. "I will have a glass of juice the morning of my surgery." B. "I will take time to relax if I get nervous the night before surgery." C. "I will be able to eat solid food when I wake up from anesthesia." D. "I understand what risks to expect with this surgery."

Correct Answer is C

Explanation

Choice A reason: Having a glass of juice the morning of surgery may not be allowed, depending on the preoperative fasting guidelines. This statement could indicate a need for further clarification on preoperative instructions, but it is less critical than the misconception about eating solid food postoperatively.
Choice B reason: Taking time to relax if nervous the night before surgery is a healthy coping mechanism and does not indicate a lack of understanding about the surgery.
Choice C reason: The belief that the client will be able to eat solid food immediately after waking up from anesthesia is incorrect and indicates a need for further teaching. Postoperative dietary restrictions are typically in place, starting with clear liquids and gradually progressing to solid foods as tolerated.
Choice D reason: Understanding the risks associated with the surgery indicates that the client has received and comprehended the relevant information about the procedure.

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Which finding is the most common indication of esophageal cancer?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which measurement would provide the most specific information about the outcome of a paracentesis for a patient who has ascites?

Correct Answer is B

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?

Correct Answer is C

Explanation

A nurse is caring for a client who has a new colostomy and states they are not ready to look at the stoma. Which of the following teaching strategies is helpful and encourages the client to share their feelings about the colostomy?

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