A client has esophageal cancer.Which intervention by the nurse takes priority?

Allowing grieving

Preventing aspiration

Managing pain relief

Maintaining nutritional intake

Answer and Explanation

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.

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Correct Answer is C

Explanation

Choice A rationale
High hemoglobin is not typically a symptom of a perforated peptic ulcer. Hemoglobin is a protein in red blood cells that carries oxygen. While changes in hemoglobin levels can indicate various health conditions, they are not directly associated with a perforated peptic ulcer.
Choice B rationale
Yellowing of the skin, or jaundice, is a symptom typically associated with liver disease, not a perforated peptic ulcer. Jaundice occurs when there’s too much bilirubin, a yellow-orange substance, in your blood.
Choice C rationale
Acute, sharp, and severe abdominal pain is a common symptom of a perforated peptic ulcer. A perforated peptic ulcer is a medical emergency that occurs when an ulcer goes through all the layers of the stomach or duodenum wall, creating a hole. This allows stomach or intestinal contents to leak into the abdominal cavity, causing severe abdominal pain.

Choice D rationale
High hematocrit is not typically a symptom of a perforated peptic ulcer. Hematocrit is the proportion of your total blood volume that is composed of red blood cells. While changes in hematocrit levels can indicate various health conditions, they are not directly associated with a perforated peptic ulcer. Dumping syndromeDumping syndrome Explore

A. I need to consume large meals. B. I will identify foods that cause discomfort. C. I will sleep without using pillows. D. I need to lie down for 2 hours after each meal.

Correct Answer is B

Explanation

Choice A rationale
Consuming large meals can exacerbate GERD symptoms. Smaller, more frequent meals are recommended to reduce the volume of food in the stomach at any one time, thereby reducing the pressure on the lower esophageal sphincter.
Choice B rationale
Identifying and avoiding foods that cause discomfort is a key strategy in managing GERD. Foods that commonly trigger GERD symptoms include fatty foods, spicy foods, acidic foods, and caffeine.
Choice C rationale

Using pillows to elevate the head and upper body during sleep can help prevent nighttime GERD symptoms. Gravity helps keep stomach acid in the stomach, reducing the chance of it flowing back into the esophagus.
Choice D rationale
Lying down after a meal can exacerbate GERD symptoms. It is recommended to wait at least three hours after eating before lying down.

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A client has esophageal cancer.Which intervention by the nurse takes priority?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is gathering information from a patient who is experiencing a perforation of a peptic ulcer. Which of the following symptoms should the nurse anticipate?

Correct Answer is C

Explanation

A patient has been educated on preventative measures for gastroesophageal reflux disease. Which statement by the patient suggests that the teaching has been successful?

Correct Answer is B

Explanation

A nurse is assisting with a class about the long-term effects of childhood obesity. Which of the following conditions should the nurse include as a potential complication of childhood obesity?

A client presents to the emergency department with severe abdominal pain. The client’s history reveals a previous diagnosis of peptic ulcer disease. The nurse suspects a perforated ulcer. What is the priority action by the nurse?

A nurse is reinforcing teaching with a patient who has dumping syndrome following gastric surgery. Which of the following information should the nurse reinforce in the teaching?

A nurse is collecting data from a client in the health clinic who is reporting epigastric pain. Which of the following statements made by the client should the nurse identify as being consistent with peptic ulcer disease?

The nurse is preparing to provide care for a client diagnosed with peptic ulcer disease. Which pathophysiological characteristic will the nurse correctly associate with the patient’s diagnosis?

Which of the following statements by the patient would indicate a correct understanding of peptic ulcer disease?

The nurse instructs a client prescribed omeprazole for peptic ulcer disease about the use of the medication. Which patient statements indicate understanding of the instructions? (Select all that apply.)

The nurse is taking care of a client that just had a liver biopsy. Which of the following is a potential immediate risk associated with a liver biopsy?