For staging of head and neck cancer, which letter indicates whether cancer has spread to another part of the body?

Answer and Explanation

The Correct Answer is A

A. The letter "M" in cancer staging refers to metastasis, or whether cancer has spread to other parts of the body.
B. "D" is not part of the TNM staging system for cancer.
C. "T" in the TNM staging system refers to the size of the primary tumor and its extent in the tissue.
D. "N" refers to the extent of regional lymph node involvement but not metastasis to distant organs.

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Correct Answer is D

Explanation

A. A BMI of 28 kg/m² is considered overweight, but it does not meet the threshold for bariatric surgery, which typically requires a BMI of 40 or more.
B. While a BMI of 32 kg/m² may be relevant when combined with significant co-morbidities (like type 2 diabetes or hypertension), the standard guideline for bariatric surgery generally requires a BMI of 40 or higher, or 35 with comorbid conditions.
C. A BMI of 30 kg/m² is classified as obese, but bariatric surgery is generally considered for those with a BMI of 40 or higher, or 35 with severe comorbidities.
D. A BMI of 40 kg/m² or more is the standard criteria for bariatric surgery, particularly when other treatments (such as diet, exercise, and medication) have failed, or when obesity-related health issues are present.

A. "Because of your surgery, you have an altered ability to smell and taste." B. "I would be happy to get you food that you prefer to eat." C. "Clients frequently complain about the taste of hospital food." D. "You should ask your family to bring you some food from home."

Correct Answer is A

Explanation

A. A total laryngectomy involves the removal of the larynx, which can impact both the ability to smell and taste. This is due to the altered airflow and the loss of normal sensory processes. Explaining this to the patient is an appropriate response.
B. While offering to provide preferred foods may seem empathetic, it does not address the underlying issue, which is the loss of taste and smell due to the surgery.
C. Telling the client that hospital food is often tasteless does not address the patient's specific condition and may seem dismissive of their concerns.
D. While it might be helpful for the family to bring food, the nurse should first address the reason for the altered taste perception and educate the patient accordingly.

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For staging of head and neck cancer, which letter indicates whether cancer has spread to another part of the body?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a patient with obesity who is being considered for bariatric surgery. Which do the criteria guidelines for bariatric surgery include?

Correct Answer is D

Explanation

A nurse is caring for a client who is 1-day postoperative following a total laryngectomy and has begun a soft diet. The client is not eating well and tells the nurse that the hospital food has no taste. Which of the following responses is appropriate for the nurse to make?

Correct Answer is A

Explanation

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