During a community screening event, the nurse would identify that the client at highest risk for development of laryngeal cancer is

a. a 30-year-old man who smokes one pack of cigarettes per day.
b. a 60-year-old woman who smokes occasionally and is easily fatigued.
c. a 70-year-old man with a 40-year history of alcohol use and heavy smoking.
d. an 80-year-old man who has a very high intake of caffeinated beverages.


C
The primary etiologic agent in laryngeal cancer is cigarette smoking. Three of four clients who develop laryngeal cancer have smoked or currently smoke. Alcohol appears to act synergistically with tobacco, increasing the risk of developing a malignant tumor in the upper airway.

Nursing

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In a highly pigmented client, the nurse would best assess for erythema by

a. follicular accentuation. b. induration. c. reddening of the skin. d. striation.

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The nurse notes the client's tympanic temperature is 100.2° F at 4 PM on the client's second postoperative day. Which does the nurse implement?

1. Checks leukocyte count 2. Collaborates for cultures 3. Asks client to drink fluid 4. Offers client more blankets

Nursing

When migrant women are educated to serve as links between existing health care agencies and the migrant farm worker family, they are called:

a. Migrant head start workers b. Outreach care workers c. Physician assistance d. Nurses aides

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A patient who recently gave vaginal birth to her first child is complaining of issues with incontinence. The nurse identifies that this is most likely due to

1. Urge incontinence. 2. Stress incontinence. 3. Overflow incontinence. 4. Functional incontinence.

Nursing