Which education about health promotion would the nurse include regarding head and neck cancer?

Exercise safe sex practices.

Reduce smoking to half a pack/day.

Alcohol consumption is not a risk factor.

Refrain from using harsh toothpastes or mouthwashes.

Answer and Explanation

The Correct Answer is A

A. Exercising safe sex practices, especially in regard to human papillomavirus (HPV), is important because HPV is a known risk factor for head and neck cancers, particularly oropharyngeal cancers. Safe sex practices, including the use of barriers like condoms, can reduce the risk of HPV infection.
B. Reducing smoking to half a pack/day is still a significant risk factor for head and neck cancer. The best approach is to quit smoking completely, as even small amounts of tobacco use increase the risk of cancer.
C. Alcohol consumption is a known risk factor for head and neck cancer, particularly when combined with smoking. The nurse should educate the client to limit alcohol intake or avoid it altogether.
D. Using harsh toothpastes or mouthwashes does not significantly affect the risk of head and neck cancer. However, maintaining good oral hygiene is important for overall health.

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Correct Answer is B

Explanation

A. Cheyne-Stokes breathing is characterized by periods of deep breathing followed by apnea and is often associated with conditions like heart failure or brain injury, not diabetic ketoacidosis (DKA).
B. Acetone odor to breath is a hallmark sign of diabetic ketoacidosis. The body breaks down fats for energy, producing ketones, which are released in the breath, giving it a fruity or acetone-like odor.
C. A blood glucose level below 40 mg/dL would indicate hypoglycemia, not DKA. In DKA, blood glucose levels are typically elevated (above 250 mg/dL).
D. Malignant hypertension refers to extremely high blood pressure with organ damage, and is not directly related to diabetic ketoacidosis.

A. Have the client refrain from talking for 24 hr B. Withhold food and liquids until the client's gag reflex returns C. Irrigate the client's throat every 4 hr D. Suction the client's oropharynx frequently

Correct Answer is B

Explanation

A. Have the client refrain from talking for 24 hr: The client only needs to refrain from talking until the anesthesia wears off, usually within an hour. There is no need to refrain from talking for 24 hours.
B. Withhold food and liquids until the client's gag reflex returns: This is the correct action. Following a bronchoscopy, the local anesthetic used can suppress the gag reflex. It is crucial to wait until the gag reflex returns to prevent aspiration when the client eats or drinks. C. Irrigate the client's throat every 4 hr: There is no indication to irrigate the throat routinely. The priority is to ensure that the gag reflex has returned before allowing oral intake.
D. Suction the client's oropharynx frequently: Suctioning is only necessary if the client is unable to clear their secretions or has difficulty breathing. It is not a standard post-procedure intervention.

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Which education about health promotion would the nurse include regarding head and neck cancer?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has diabetic ketoacidosis. Which of the following manifestations should the nurse expect?

Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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