A nurse is assessing a client who has a long history of smoking and suspected of having laryngeal cancer. The nurse should anticipate that the client will report that her earliest manifestation was

hoarseness.

dysphagia.

weight loss.

dyspnea.

Answer and Explanation

The Correct Answer is A

A.   Hoarseness or changes in voice quality is one of the hallmark symptoms of laryngeal cancer. It occurs due to the tumor affecting the vocal cords or surrounding structures. Hoarseness is often persistent and does not resolve with voice rest or usual treatments for laryngitis.
B.   Dysphagia, or difficulty swallowing, can occur in laryngeal cancer, especially if the tumor affects the structures involved in swallowing. However, dysphagia typically occurs later in the course of the disease as the tumor grows and obstructs the passage of food or liquids.
C.   Weight loss can be a symptom of advanced laryngeal cancer but is less commonly reported as an early manifestation. Significant weight loss may occur as a result of difficulty eating due to dysphagia or as a generalized effect of cancer on the body.
D.   Dyspnea, or difficulty breathing, is not typically an early manifestation of laryngeal cancer unless the tumor is large and obstructs the airway. It is more commonly associated with advanced disease or tumors that have spread to nearby structures.

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Correct Answer is A

Explanation

A. Tachycardia refers to a rapid heart rate, typically defined as a heart rate greater than 100 beats per minute. Theophylline can stimulate the heart and central nervous system, leading to an increase in heart rate. Tachycardia is a known adverse effect of theophylline and can occur especially if the medication is taken in higher doses or if there are interactions with other medications or caffeine.
B. Constipation is not a common adverse effect of theophylline. Theophylline primarily affects the respiratory and cardiovascular systems rather than the gastrointestinal system. Therefore, constipation is unlikely to be caused by theophylline therapy.
C. Drowsiness is generally not a common adverse effect of theophylline. Instead, theophylline is more likely to cause CNS stimulation, which can lead to insomnia, restlessness, or anxiety rather than drowsiness.
D. Oliguria refers to decreased urine output, which is not typically associated with theophylline use. Theophylline primarily affects respiratory function and cardiovascular parameters. Decreased urine output can occur in certain conditions or with medications that affect kidney function, but it is not a recognized adverse effect of theophylline.

A. "I am unable to discuss this, but I can contact my supervisor to speak with you." B. "As a nurse, I am required by law to report suspected child abuse." C. "The provider will be coming to explain the situation." D. "I reported the incident to my supervisor who decided to contact the authorities."

Correct Answer is B

Explanation

A. This response acknowledges the parent's concern but maintains confidentiality regarding the report. It offers to involve the supervisor, which is a reasonable step. However, it may leave the parent feeling uneasy or uncertain.
B. This response directly informs the parent about the legal obligation of the nurse to report suspected child abuse. It provides clarity on why the nurse took action. However, it might be perceived as abrupt or lacking empathy.
C. This response suggests that someone else (possibly a healthcare provider or another authority figure) will explain the situation later. It doesn't directly address the reason for the nurse's action or the legal requirement to report.
D. This response explains the chain of events, from reporting to the supervisor's decision to contact authorities. It provides information but might not directly address the parent's emotional concern or the legal obligation of the nurse.

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A nurse is assessing a client who has a long history of smoking and suspected of having laryngeal cancer. The nurse should anticipate that the client will report that her earliest manifestation was

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing discharge instructions to a client who has asthma and is about to start taking theophylline (Theo-24). The nurse should tell the client that this medication might cause which of the following adverse effects?

Correct Answer is A

Explanation

A nurse reports an incident of suspected child abuse. One of the parents of the child becomes upset and demands to know the reason for the nurse's action. Which of the following responses by the nurse is appropriate?

Correct Answer is B

Explanation

A hospice nurse is caring for a client who has terminal cancer and takes PO morphine for pain relief. The client reports that he had to increase the dose of morphine this week to obtain pain relief. Which of the following scenarios should the nurse document as the explanation for this situation?

A nurse is assessing a client who has a long history of smoking and suspected of having laryngeal cancer. The nurse should anticipate that the client will report that her earliest manifestation was

A charge nurse is teaching a group of staff members about hand hygiene. Which of the following information should the nurse include in the teaching?

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