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.

Answer and Explanation

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.

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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.

A. A Advise the client to place one nitroglycerin tablet under his tongue as a precaution. B. B Tell the client to have someone bring him to an emergency department immediately. C. C Instruct the client to increase his intake of oral fluids until the skin flushing is relieved. D. D Reassure the client that skin flushing is a common side effect of the medication.

Correct Answer is D

Explanation

A. Advise the client to place one nitroglycerin tablet under his tongue as a precaution: Nitroglycerin is contraindicated in combination with phosphodiesterase type 5 inhibitors like tadalafil due to the risk of severe hypotension. This action could worsen the client's condition.
B. Tell the client to have someone bring him to an emergency department immediately: Skin flushing is a common side effect of tadalafil and not necessarily indicative of a medical emergency, especially in the absence of chest pain or other concerning symptoms.
C. Instruct the client to increase his intake of oral fluids until the skin flushing is relieved Increasing fluid intake is not likely to alleviate the skin flushing associated with tadalafil. This response does not address the client's concern adequately.
D. Reassure the client that skin flushing is a common side effect of the medication: Tadalafil, a phosphodiesterase type 5 inhibitor, commonly causes facial flushing as a side effect. Reassuring the client about this known side effect is appropriate, especially since he is not experiencing chest pain or other concerning symptoms.

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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

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Naxlex Comprehensive Predictor Exams

A nurse in an urgent care center is assessing a client who reports a sudden onset of irregular palpitations, fatigue, and dizziness. The nurse finds a rapid and irregular heart rate with a significant pulse deficit. Which of the following dysrhythmias should the nurse expect to find on the ECG?

Correct Answer is B

Explanation

A male client reports to the on-call clinic nurse that he took tadalafil 10 mg by mouth two hours ago and his skin now feels flushed. He reports a history of stable angina but denies experiencing any current or recent chest pain. Which action should the nurse take?

Correct Answer is D

Explanation

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