Which clinical manifestation in a client who smokes two packs of cigarettes per day should be explored further for head and neck cancer?
A. Unplanned weight gain of 15 pounds
B. Decreased sense of taste
C. Difficulty swallowing
D. Persistent bad breath
C
One of the many common clinical manifestations of head and neck cancer is difficulty swallow-ing, or the sensation of a "lump" in the throat.
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In which areas of the United States are more people of Puerto Rican descent likely to reside?
A. New York City B. Los Angeles C. Houston D. Chicago
Which client situation would the nurse need to report to the health care provider as soon as it is noted?
1. The client with normal saline infusing IV who complains of pain at the IV site, noted to be slightly red 2. The client with a continuous infusion of heparin whose IV site is noted to be red, edematous, and painful to touch 3. The client who accidentally discontinued an IV and requires a new IV insertion 4. The client whose saline lock is not patent, and who requires a new lock to be inserted
The nurse is caring for a patient with acute respiratory failure and identifies "Risk for Ineffective Airway Clearance" as a nursing diagnosis. A nursing intervention relevant to this diagnosis is:
a. Elevate head of bed to 30 degrees. b. Obtain order for venous thromboembolism prophylaxis. c. Provide adequate sedation. d. Reposition patient every 2 hours.
Which compensatory mechanism, during the first stage of shock, is the nurse most correct to identify as responsible for stabilization of fluid balance?
A) Catecholamines B) Corticosteroid hormones C) Renin-angiotensin D) Aldosterone