Which finding is the most common indication of esophageal cancer?
Epigastric pain during swallowing
Regurgitation
Progressive dysphagia
Weight loss
The Correct Answer is C
Choice A reason: Epigastric pain during swallowing can occur in esophageal cancer but is not the most common or specific symptom. It could be related to other conditions such as gastroesophageal reflux disease (GERD) or peptic ulcers.
Choice B reason: Regurgitation can be a symptom but is more commonly associated with GERD or other less serious esophageal conditions rather than being a primary indication of esophageal cancer.
Choice C reason: Progressive dysphagia, or difficulty swallowing that worsens over time, is the most common and specific symptom of esophageal cancer. It occurs as the tumor grows and gradually obstructs the esophagus, making swallowing increasingly difficult.
Choice D reason: Weight loss can occur in esophageal cancer but is not as specific as progressive dysphagia. It may be a secondary symptom resulting from difficulty swallowing and reduced food intake.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Limiting milk intake is not typically necessary for managing gastritis unless the patient has lactose intolerance or a specific reaction to dairy. The focus should be on avoiding substances that irritate the stomach lining.
Choice B reason: Limiting strenuous exercise is generally not related to managing gastritis. Exercise can actually help with overall health, including digestive health, as long as it is not causing direct discomfort.
Choice C reason: Taking NSAIDs is counterproductive for a patient with gastritis, as NSAIDs can irritate the stomach lining and exacerbate symptoms. Patients are usually advised to avoid NSAIDs.
Choice D reason: Avoiding alcohol is crucial for managing gastritis, as alcohol can irritate and erode the stomach lining, leading to increased inflammation and pain.
Correct Answer is A
Explanation
Choice A reason: Impaired skin integrity is a significant risk due to the constant exposure of the skin around the stoma to urine, which can lead to irritation and breakdown. Proper skin care and stoma care are essential to prevent complications.
Choice B reason: Disturbed body image is also a risk as the client adjusts to the physical changes and the presence of a stoma, which can impact self-esteem and body perception.
Choice C reason: Fluid volume deficit can occur if the client does not maintain adequate fluid intake or if there is significant leakage from the stoma. Monitoring fluid balance is crucial.
Choice D reason: Anxiety is common as clients adapt to managing a new ostomy, worrying about potential complications, and coping with changes in body function.
Choice E reason: Infection is a risk due to the exposure of the stoma and surrounding skin to bacteria from the urine. Proper hygiene and care are vital to prevent infections.
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