Question

A nurse is teaching a health promotion class about preventing cancer. Which statement by a client indicates understanding of gastric cancer risk factors?

Answer 1

Correct Answers:

"l should decrease eating salted, smoked, processed foods to reduce my risk of gastric cancer."

Rationale :

💠 Salted, smoked, and processed foods are known risk factors for gastric cancer due to their high nitrate content and ability to promote the growth of carcinogenic compounds in the stomach.

💠 Decaffeinated coffee and lactose intolerance are not significant risk factors for gastric cancer.

💠 A high-fiber diet is actually protective against gastric cancer by promoting digestive health and reducing exposure to carcinogens.

💠 Focusing on reducing processed food intake is key in cancer prevention.

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Answer 2

Correct Answers:

An irregular border.
Asymmetrical shape.
Been increasing in size.

Rationale :

An irregular border.

✧ Irregular borders are a key characteristic of melanoma, a malignant skin lesion.

✧ Asymmetry and irregular borders are part of the ABCD rule used to assess suspicious lesions for potential skin cancer.

✧ Regular borders are usually seen in benign lesions, while irregular borders suggest malignancy.

Asymmetrical shape.

🔷 Asymmetry is a hallmark feature of malignant melanoma.

🔷 In non-cancerous lesions, the two halves of the lesion usually look symmetrical, whereas asymmetry suggests a cancerous growth.

🔷 This change in shape is one of the first signs that the lesion is abnormal and warrants further evaluation.

Been increasing in size.

💠 Increasing size is another critical warning sign for skin cancer, particularly melanoma.

💠 Benign moles typically remain stable in size, while cancerous lesions tend to grow and change in appearance over time.

💠 A lesion that has increased in size should be evaluated for possible malignancy and may require biopsy.

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Answer 3

Correct Answers:

Avoid snacking in between meal times

Rationale :

🔶 Clients recovering from an esophagogastrectomy (Whipple) should avoid snacking between meals to ensure proper nutritional absorption and prevent gastric overload.

🔶 High-protein foods should be encouraged, as they help with healing and tissue regeneration.

🔶 Pureed foods may be necessary in the immediate recovery phase, but solid foods should eventually be reintroduced.

🔶 Lying flat after meals may increase the risk of gastric reflux and should be avoided.

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Answer 4

Correct Answers:

Penlight

Rationale :

✧ Cranial nerve III (oculomotor) controls pupillary reaction and eye movement, so a penlight is used to assess pupillary constriction and response to light.

✧ Otoscope is used for ear assessments, not for ocular examination.

✧ Cotton balls and lavender are unrelated to cranial nerve assessments.

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Answer 5

Correct Answers:

Vital signs, cardiac rhythm, and peripheral pulses

Rationale :

💠 Postoperative assessment of a pancreatoduodenectomy (Whipple) procedure should focus on vital signs and cardiovascular status, as the patient is at risk for hypovolemia and shock.

💠 Monitoring cardiac rhythm and peripheral pulses helps assess fluid balance and circulation.

💠 Bowel sounds, abdominal girth, and NG tube output are important but secondary to immediate hemodynamic stability in the early postoperative period.

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Answer 6

Correct Answers:

62.5

Rationale :

Use the formula

IV rate = Total volume ÷ Time in hrs

➧ Given:

Total volume: 500 mL
Time: 8 hours

👉 Calculation:

⇨ 500 mL ÷ 8 hours

⋙ = 62.5 mL/hr

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Answer 7

Correct Answers:

oxycodone

Rationale :

✧ Trigeminal neuralgia is a neuropathic pain condition, and the first-line treatment includes medications like gabapentin, carbamazepine, and baclofen.

✧ Oxycodone, an opioid analgesic, is typically not used for neuropathic pain due to its addictive potential and limited effectiveness for nerve pain.

✧ Gabapentin and carbamazepine are specifically designed to modulate nerve signaling and treat nerve pain, making them more suitable for trigeminal neuralgia.

✧ Opioids like oxycodone are reserved for more severe, acute pain but are not recommended for trigeminal neuralgia.

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Answer 8

Correct Answers:

"Avoid exposure to sun for at least 6 weeks after the treatment."

Rationale :

🔷 Photodynamic therapy (PDT) makes the skin extremely sensitive to sunlight, and sun exposure can lead to severe burns and skin damage for up to 6 weeks after treatment.

🔷 Sun sensitivity occurs because of the photosensitizing agent used in PDT, which makes the skin more prone to UV damage.

🔷 Clients undergoing PDT should avoid sun exposure and use protective clothing to prevent photosensitivity reactions.

🔷 Reading glasses and eating a full breakfast have no direct impact on PDT effectiveness or skin protection.

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Answer 9

Correct Answers:

reporting multiple consecutive blood glucose levels over 200 mg/dL

Rationale :

🍃 Multiple blood glucose levels over 200 mg/dL are indicative of poor blood sugar control and suggest that the client is at risk for developing diabetic ketoacidosis (DKA).

🍃 DKA is a life-threatening emergency where ketones accumulate in the blood due to inadequate insulin levels, leading to acidosis.

🍃 Clients should be educated on monitoring blood glucose levels and reporting persistent hyperglycemia to prevent DKA and ensure proper management of type 1 diabetes.

🍃 Monitoring blood glucose and managing it appropriately with insulin adjustments helps prevent long-term complications.

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Answer 10

Correct Answers:

Clay-colored stools

Rationale :

🔶 Clay-colored stools are often caused by bile duct obstruction, which is commonly seen in clients with pancreatic cancer.

🔶 The obstruction prevents bile from reaching the intestines, causing the stool to lose its normal brown color and become pale or clay-colored.

🔷 Pancreatic cancer frequently leads to jaundice due to bile duct blockage, and clay-colored stools are a hallmark symptom of this condition.

🔷 The other options, such as hematuria or pale urine, are not typically associated with pancreatic cancer in the early stages.

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QLexNursing

1 :
A nurse is teaching a health promotion class about preventing cancer. Which statement by a client indicates understanding of gastric cancer risk factors?

2 :
The nurse is educating adolescent high school students about when to seek medical attention regarding suspected cancerous skin lesions. Which of the following are included in the nurse's teaching? The lesion has:

3 :
The client recovering from an esophagogastrectomy is preparing for discharge. What instructions should be included in the dietary teaching for this client?

4 :
The nurse prepares to assess the patient's cranial nerves. Which tool is necessary to assess cranial nerve (CN) III (oculomotor)?

5 :
The nurse is caring for a client in the immediate postoperative period following a pancreatoduodenectomy (Whipple) procedure. The nurse is assessing for decreased fluid volume in the client. What would the nurse assess first?

6 :
A client is to receive 500 mL of IV fluid over 8 hours. At what rate should the nurse set the IV pump?

7 :
The nurse is caring for a patient with trigeminal neuralgia. Which medication to treat the patient's pain would the nurse question?

8 :
In planning teaching sessions for a client undergoing photodynamic therapy for lung cancer, the nurse should include which statement?

9 :
The nurse is performing discharge planning for a client newly diagnosed with type 1 diabetes mellitus. It would be most important for the plan to include:

10 :
A jaundiced client has just been diagnosed with stage IV pancreatic cancer. The nurse anticipates the client will display which clinical manifestation?

QLexNursing

1 : A nurse is teaching a health promotion class about preventing cancer. Which statement by a client indicates understanding of gastric cancer risk factors?

2 : The nurse is educating adolescent high school students about when to seek medical attention regarding suspected cancerous skin lesions. Which of the following are included in the nurse's teaching? The lesion has:

3 : The client recovering from an esophagogastrectomy is preparing for discharge. What instructions should be included in the dietary teaching for this client?

4 : The nurse prepares to assess the patient's cranial nerves. Which tool is necessary to assess cranial nerve (CN) III (oculomotor)?

5 : The nurse is caring for a client in the immediate postoperative period following a pancreatoduodenectomy (Whipple) procedure. The nurse is assessing for decreased fluid volume in the client. What would the nurse assess first?

6 : A client is to receive 500 mL of IV fluid over 8 hours. At what rate should the nurse set the IV pump?

7 : The nurse is caring for a patient with trigeminal neuralgia. Which medication to treat the patient's pain would the nurse question?

8 : In planning teaching sessions for a client undergoing photodynamic therapy for lung cancer, the nurse should include which statement?

9 : The nurse is performing discharge planning for a client newly diagnosed with type 1 diabetes mellitus. It would be most important for the plan to include:

10 : A jaundiced client has just been diagnosed with stage IV pancreatic cancer. The nurse anticipates the client will display which clinical manifestation?

1 :
A nurse is teaching a health promotion class about preventing cancer. Which statement by a client indicates understanding of gastric cancer risk factors?

2 :
The nurse is educating adolescent high school students about when to seek medical attention regarding suspected cancerous skin lesions. Which of the following are included in the nurse's teaching? The lesion has:

3 :
The client recovering from an esophagogastrectomy is preparing for discharge. What instructions should be included in the dietary teaching for this client?

4 :
The nurse prepares to assess the patient's cranial nerves. Which tool is necessary to assess cranial nerve (CN) III (oculomotor)?

5 :
The nurse is caring for a client in the immediate postoperative period following a pancreatoduodenectomy (Whipple) procedure. The nurse is assessing for decreased fluid volume in the client. What would the nurse assess first?

6 :
A client is to receive 500 mL of IV fluid over 8 hours. At what rate should the nurse set the IV pump?

7 :
The nurse is caring for a patient with trigeminal neuralgia. Which medication to treat the patient's pain would the nurse question?

8 :
In planning teaching sessions for a client undergoing photodynamic therapy for lung cancer, the nurse should include which statement?

9 :
The nurse is performing discharge planning for a client newly diagnosed with type 1 diabetes mellitus. It would be most important for the plan to include:

10 :
A jaundiced client has just been diagnosed with stage IV pancreatic cancer. The nurse anticipates the client will display which clinical manifestation?