A middle-aged client tells the nurse that his father died of colon cancer. The client is concerned about developing this disease as well. Which of the following would the nurse include in the recommendations for this client?
"It is imperative that you make dietary changes and increase your intake of fiber."
"You should discuss family history of cancer and early screening options with your primary care provider."
"You can get a Carcinoembryonic antigen (CEA) blood test annually to predict your chances of developing cancer."
"There is no need to worry about this until you are over 60 years old."
The Correct Answer is B
A. Increasing fiber intake is generally beneficial for digestive health but alone may not address the client's specific concern regarding colon cancer risk, making this advice too narrow.
B. Discussing family history and early screening options with a primary care provider is crucial, as it can lead to earlier detection and intervention, especially given the family history of colon cancer.
C. The CEA blood test is not routinely used for cancer screening; it is primarily used to monitor treatment response or recurrence, not for predicting the development of cancer.
D. Waiting until the age of 60 to be concerned about colon cancer is not advisable, especially with a family history; proactive discussions about screening should begin earlier based on risk factors.
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Correct Answer is B
Explanation
A. Stomatitis is a common side effect of radiation therapy for oral cancer, and while it requires management, it is not immediately life-threatening.
B. Stridor indicates potential airway obstruction, which is a critical and urgent condition that requires immediate intervention, making it the greatest concern among the options presented.
C. Nausea is a typical side effect of cancer treatment but is usually manageable and not considered an immediate threat.
D. Xerostomia, or dry mouth, is another common side effect of radiation to the head and neck, but it is not as urgent as the risk of airway compromise indicated by stridor.
Correct Answer is D
Explanation
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