The nurse is performing an assessment of a client with suspected esophageal cancer. Which statement made by the client is indicative of a more advanced disease?
A. "I have difficulty swallowing solids, particularly meat."
B. "I usually have a sticking feeling in my throat."
C. "I have difficulty swallowing soft foods."
D. "I have difficulty with swallowing liquids."
D
Dysphagia does not usually present until the esophageal lumen is 60% occluded. It begins with a sticking sensation in the throat and dysphagia for solids, followed by dysphagia for soft foods. The client with dysphagia for liquids has the most advanced disease.
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A patient diagnosed with exudative macular degeneration reads as primary recreation. What should the nurse suggest to this patient?
1. Obtain books on tape or CD. 2. Find another activity that does not require reading. 3. Spend more time with friends and family. 4. Listen to music instead of watching so much television.
A school nurse often observes adolescents challenging the decision making of their parents and teachers. Which of these developmental theorists relates this as an expected occurrence?
A) Piaget B) Freud C) Havighurst D) Erikson
The infection control (IC) nurse has completed teaching newly hired nurses about the innate body defenses. Which statements by one of the participants would indicate the need for further instruction?
Standard Text: Select all that apply. 1. "Fever is one of the process barriers we can expect our clients to demonstrate." 2. "Complement is a component of the adaptive immune response." 3. "I should try to keep my client's skin and mucous membranes intact." 4. "Dendritic cells are part of the nervous system involved in keeping the immune system strong." 5. "Phagocytes are cells that kill invading bacteria."
A nursing student is using a knowledge-based digital database. Which of the following would the student expect to find?
A) Journal article on diabetes B) Medication reference C) A new lab procedure D) Change in a nursing skill