A nurse is teaching a health promotion class about preventing cancer. Which statement by a client indicates understanding of gastric cancer risk factors?
"I should switch from regular to decaffeinated coffee to reduce my risk of gastric cancer."
"I should decrease eating salted, smoked, processed foods to reduce my risk of gastric cancer."
"I need to decrease fiber from my diet to reduce my risk of gastric cancer."
"I have been lactose-intolerant for many years, so I should have a yearly test for gastric cancer."
The Correct Answer is B
A. Switching from regular to decaffeinated coffee does not significantly impact gastric cancer risk. The main dietary risk factors include high intake of salted, smoked, and processed foods, not caffeine consumption.
B. Consuming large amounts of salted, smoked, and processed foods has been shown to increase the risk of gastric cancer. These foods contain nitrates and nitrites, which can be converted into cancer-causing compounds in the stomach.
C. High-fiber diets are generally protective against gastrointestinal cancers, including gastric cancer, rather than increasing the risk. A reduction in fiber intake could contribute to other gastrointestinal problems.
D. Lactose intolerance is not a known risk factor for gastric cancer. Regular testing for gastric cancer is not necessary for people who are lactose-intolerant unless they have additional risk factors, such as a family history of gastric cancer.
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Correct Answer is C
Explanation
A. This statement may not be ideal; smaller, more frequent meals can help manage appetite and energy levels better than three large meals, especially for cancer patients who may experience fatigue or nausea.
B. A flat lying position can hinder lung expansion; a more elevated position is generally recommended to facilitate breathing.
C. This statement shows understanding of the need to manage energy levels and not overexert oneself, which is crucial for maintaining stamina during treatment.
D. Pain management typically requires more frequent dosing rather than a once-a-day regimen, depending on the severity of the pain.
Correct Answer is C
Explanation
A. This statement indicates the client is aware of the importance of quitting smoking and is taking steps to do so, which is a positive action in managing their health after a lung cancer diagnosis.
B. Contacting the American Cancer Society shows the client and their family are seeking support, which is beneficial for coping with cancer, indicating good understanding of available resources.
C. Allowing others to smoke in the house poses significant health risks due to secondhand smoke exposure, which can aggravate the client's condition and hinder recovery. This indicates a lack of understanding regarding the dangers of smoking and the need for a smoke-free environment.
D. Spending quality time with family is a positive coping mechanism and reflects the client’s recognition of the importance of emotional support during their treatment journey.