A client has esophageal cancer.Which intervention by the nurse takes priority?
Allowing grieving
Preventing aspiration
Managing pain relief
Maintaining nutritional intake
The Correct Answer is B
Choice A rationale
While allowing grieving is an important aspect of holistic care for a client with esophageal cancer, it is not the priority nursing intervention. Emotional support and counseling are crucial, but they do not take precedence over interventions aimed at maintaining the client’s physical health.
Choice B rationale
Preventing aspiration is the priority nursing intervention for a client with esophageal cancer. Aspiration, or the inhalation of food, stomach acid, or saliva into the lungs, can lead to pneumonia and other serious complications. Therefore, measures to prevent aspiration, such as educating the client on safe swallowing techniques, elevating the head of the bed during meals, and monitoring for signs of aspiration, are crucial.
Choice C rationale
Managing pain relief is an important aspect of care for a client with esophageal cancer, but it is not the priority nursing intervention. Pain management strategies, such as administering prescribed analgesics and providing comfort measures, are part of a comprehensive care plan
but do not take precedence over interventions aimed at preventing immediate life-threatening complications like aspiration.
Choice D rationale
Maintaining nutritional intake is an important aspect of care for a client with esophageal cancer, but it is not the priority nursing intervention. Nutritional support, such as providing a balanced diet, encouraging small frequent meals, and possibly arranging for a consultation with a dietitian, are important but do not take precedence over interventions aimed at preventing immediate life-threatening complications like aspiration.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
While headaches can be a side effect of many medications, they are not commonly associated with daily aspirin intake.
Choice B rationale
Muscle pain is not a common side effect of daily aspirin intake. It is more commonly associated with statins, a class of drugs used to lower cholesterol levels.
Choice C rationale
Increased appetite is not a known side effect of daily aspirin intake.
Choice D rationale
Stomach upset is a potential adverse effect of taking daily aspirin. Aspirin can irritate the stomach lining, which can lead to symptoms such as heartburn and nausea.
Correct Answer is A
Explanation
Choice A rationale
Calling for pain medication before the previous dose wears off is an effective strategy for managing postoperative pain. This approach helps maintain a consistent level of pain control, which can enhance comfort and facilitate recovery.
Choice B rationale
Waiting for the nurse to evaluate the pain before asking for more medication can result in periods of uncontrolled pain, which can hinder recovery. Pain should be managed proactively, not reactively.
Choice C rationale
Calling for pain medication as the pain becomes intolerable is not an effective pain management strategy. Pain should be controlled before it reaches this level.
Choice D rationale
Asking for less medication to avoid addiction is not a recommended approach to pain management. While it’s important to use opioids judiciously, under-treating pain can hinder recovery and lead to unnecessary suffering. PancreatitisPancreatitis Explore
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