Nokea
A client expresses concern about how a hypophysectomy will affect his sexual function. Which of the following statements provides the most accurate information about the physiologic effects of hypophysectomy?
- A. Removing the source of excess hormone should restore the client's libido, erectile function, and fertility.'
- B. Potency will be restored, but the client will remain infertile.'
- C. Fertility will be restored, but impotence and decreased libido will persist.'
- D. Exogenous hormones will be needed to restore erectile function after the adenoma is removed.'
Correct Answer: D
Rationale: Hypophysectomy may disrupt pituitary hormone production, including those affecting sexual function. Exogenous hormones (e.g., testosterone) are often needed to restore erectile function.
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A priority goal for the hospitalized client who 2 days earlier had a total laryngectomy with creation of a new tracheostomy would be to:
- A. Decrease secretions.
- B. Instruct the client in caring for the tracheostomy.
- C. Relieve anxiety related to the tracheostomy.
- D. Maintain a patent airway.
Correct Answer: D
Rationale: Maintaining a patent airway is the priority goal post-laryngectomy with a new tracheostomy to ensure adequate oxygenation and prevent respiratory distress.
Which of the following describes decerebrate posturing?
- A. Internal rotation and adduction of arms with the excess, wrists, and fingers.
- B. Back hunched with the position of all four extremities with supination of arms and plantar flexion of feet.
- C. Supination of arms, dorsiflexion of the feet.
- D. Back arched, rigid extension of all four extremities.
Correct Answer: D
Rationale: Decerebrate posturing involves rigid extension of all extremities with arched back, indicating severe brain stem dysfunction. The other options describe decorticate posturing or incorrect combinations of movements.
Which intervention supports a client with expressive aphasia?
- A. Speak loudly.
- B. Use written instructions.
- C. Provide a communication board.
- D. Ask complex questions.
Correct Answer: C
Rationale: A communication board supports communication for clients with expressive aphasia.
Which clinical manifestations should the nurse expect to assess in a client diagnosed with an overdose of a cholinergic agent?
- A. Dry mucous membranes.
- B. Urinary incontinence.
- C. Central nervous system (CNS) depression.
- D. Seizures.
- E. Skin rash.
Correct Answer: B,C,D
Rationale: Cholinergic overdose (e.g., organophosphates) causes urinary incontinence (B), CNS depression (C), and seizures (D) due to excessive acetylcholine. Dry mucous membranes and skin rash are not typical.
A client with colon cancer is scheduled for chemotherapy post-resection. Which of the following should the nurse monitor for as a common side effect of chemotherapy?
- A. Hypertension.
- B. Nausea and vomiting.
- C. Hyperglycemia.
- D. Joint pain.
Correct Answer: B
Rationale: Nausea and vomiting are common side effects of chemotherapy due to its impact on rapidly dividing cells, including those in the gastrointestinal tract. Hypertension, hyperglycemia, and joint pain are less commonly associated with chemotherapy. CN: Pharmacological and parenteral therapies; CL: Analyze