The nurse is performing an assessment of a client with suspected esophageal cancer. Which statement made by the client does the nurse correlate with advanced disease?
a. "I have difficulty swallowing solids."
b. "I usually have a sticking feeling in my throat."
c. "I have difficulty swallowing soft foods."
d. "I have difficulty swallowing liquids."
D
Dysphagia is a common sign of esophageal cancer, but it often does not present until late in the disease. Clients first notice swallowing problems with solid foods, then liquids; they can even choke on saliva. Sometimes they have the feeling of food sticking in their throats.
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When a breastfeeding mother complains that her breasts are leaking milk, the nurse could offer which effective intervention?
1. Decrease the number of minutes the newborn is at the breast per feeding. 2. Decrease the mother's fluid intake. 3. Place absorbent pads in the bra. 4. Administer oxytocin.
The nurse reviews the nursing considerations related to the administration of lithium, which include: (Select all that apply.)
a. drug should be taken on an empty sto-mach. b. fluids should be restricted to 1000 mL daily. c. ensure frequent blood levels are drawn. d. encourage contraception to avoid preg-nancy while on drug. e. avoid caffeine.
The patient reports frequent nosebleeds and petechiae. These findings suggest a deficiency in
a. Vitamin A c. Vitamin C b. Vitamin B d. Vitamin K
The nurse prepares to administer an intradermal injection for the administration of medication for:
A. Pain B. Allergy sensitivity C. Anticoagulant therapy D. Low-dose insulin requirements