Author Question: A 68-year-old African American man who has smoked for at least 50 years reports that lately he feels ... (Read 70 times)

cartlidgeashley · **on:** Jun 25, 2018

A 68-year-old African American man who has smoked for at least 50 years reports that lately he feels as though food is getting stuck in his throat.

At first, this was a problem just with dry food, but now his morning oatmeal is getting stuck. On questioning, he reports drinking at least three alcoholic beverages nearly every day. His problem is most likely
A)
achalasia.
B)
squamous cell carcinoma of the esophagus.
C)
dysphagia secondary to scleroderma.
D)
gastrointestinal reflux disease.

Question 2

The physician has asked a newly diagnosed cardiac patient to begin taking omega-3 fatty acids to help prevent inflammation and blood clotting. The patient asks the nurse what types of food sources are high in omega-3 fatty acids.

The nurse should educate the patient to increase his intake of which of the following items? Select all that apply.
A)
Salmon
B)
Walnuts
C)
Seeds
D)
Avocados

nhea · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Ans:
B

Feedback:

Squamous cell carcinoma of the esophagus is the seventh leading cause of cancer death among men, particularly black men; mean age at diagnosis is 67 years. Alcohol and tobacco use are the main risk factors for this cancer, and dysphagia is a common presenting complaint. An esophageal motility disorder involves the smooth muscle layer of the esophagus and the lower esophageal splincter (LES). Achalasia is characterized by difficulty swallowing and regurgitation. GERD (gastroesophageal reflux disease) is a condition that causes the esophagus to become irritated and inflamed. Clients with GERD usually feel a burning in the chest or throat called heartburn. Sometimes, they taste stomach fluid in the back of the mouth.

Answer to Question 2

Ans:
A, B, C

Feedback:

All of the foods, except avocados, are rich with omega-3 fatty acids.