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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Explanation
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C. The ability to tolerate oral fluid intake indicates that the client is managing nausea effectively, demonstrating that ondansetron is working as intended.
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Correct Answer is C
Explanation
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C. Assessment of the ability to cough and swallow is crucial for clients who have undergone oral surgery, as it directly relates to their airway clearance and safety in managing secretions.
D. Providing enough time for the client to respond is important for overall communication and comfort but does not specifically address the risk for ineffective airway clearance, which requires more targeted interventions.