The patient is complaining of dysphagia, substernal pain, and regurgitation of undigested food. Based upon these symptoms, the nurse anticipates that the physician will schedule the patient for:
A) An esophagogastroduodenoscopy (EGD)
B) A colonoscopy
C) A CAT scan of the head and neck
D) A barium swallow
Ans: A
Feedback: The patient is exhibiting symptoms of cancer of the esophagus. Diagnosis is confirmed in 95% of cases by an EGD with biopsy and brushings.
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A patient with acute kidney injury (AKI) demonstrates oliguria, a urine osmolality of 550 mOsm/kg H2O, increased urine specific gravity, urine sodium of 15 mEq/L, and a BUN:creatinine ratio of 23:1
Which of the following is a cause of AKI that would best fit with these findings? A) Congestive heart failure B) Nephrotoxicity due to aminoglycoside antibiotics C) Hypertension D) Retroperitoneal tumor
A patient, identified as an organ donor, is diagnosed as being brain dead. The patient, however, is not a candidate because of which of the following?
1. previously treated for prostate cancer 2. previous health history unknown 3. diagnosed with active hepatitis B 4. experimented with intravenous heroin 20 years prior
The nurse manager is implementing risk management for a client-care issue. In what order will the manager implement risk management?
1. Analyzing, classifying, and prioritizing risks 2. Evaluating and modifying risk reduction programs 3. Anticipating and seeking sources of risk 4. Developing a plan to avoid and manage risk 5. Gathering data that indicate success at avoiding or minimizing risk
Which therapeutic communication technique should the nurse use when communicating with a client who is experiencing auditory hallucinations?
A. "My sister has the same diagnosis as you and she also hears voices." B. "I understand that the voices seem real to you, but I do not hear any voices." C. "Why not turn up the radio so that the voices are muted." D. "I wouldn't worry about these voices. The medication will make them disappear."