A nurse is assessing a client who has a long history of smoking and is suspected of having laryngeal cancer. The nurse should anticipate that the client will report that her earliest manifestation was
Weight loss.
Hoarseness.
Dysphagia.
Dyspnea.
The Correct Answer is B
A. Weight loss can occur as laryngeal cancer progresses, but it is not typically an early sign.
B. Hoarseness is often the earliest and most common symptom of laryngeal cancer. It occurs due to the involvement of the vocal cords.
C. Dysphagia, or difficulty swallowing, may develop as the cancer advances, but it is not usually the initial symptom.
D. Dyspnea, or difficulty breathing, can occur if the tumor obstructs the airway, but it is generally a later manifestation of laryngeal cancer.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Dobutamine does not directly affect blood glucose levels.
B. While dobutamine can increase heart rate, this is not a primary indicator of its effectiveness in treating heart failure.
C. Increased urine output indicates improved cardiac output and kidney perfusion, suggesting that dobutamine is effectively enhancing the heart's pumping ability.
D. Dobutamine may cause a slight decrease in blood pressure, but this is not a primary measure of its effectiveness in heart failure treatment.
Correct Answer is B
Explanation
A. First-degree AV block shows a prolonged PR interval but not necessarily an irregular heart rate or a significant pulse deficit.
B. Atrial fibrillation is characterized by a rapid and irregular heart rate with a significant pulse deficit, which aligns with the client's symptoms.
C. Sinus tachycardia presents with a rapid but regular heart rate, not irregular palpitations.
D. Sinus bradycardia shows a slow heart rate and is not associated with an irregular heart rate or significant pulse deficit.
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