Nokea
A client has malignant pleural effusions. The nurse should conduct a focused assessment to determine if the client has which of the following? Select all that apply.
- A. Hiccups.
- B. Weight gain.
- C. Peripheral edema.
- D. Chest pain.
- E. Dyspnea.
- F. Cough.
Correct Answer: D,E,F
Rationale: Chest pain (D), dyspnea (E), and cough (F) are common symptoms of malignant pleural effusions due to fluid accumulation and lung compression.
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The following scenario applies to the next 1 items
The nurse in the emergency department (ED) is performing discharge education for a 31-year-old female client.
Item 1 of 1
Progress Notes Orders
1710: The client has pelvic inflammatory disease and bacterial vaginosis. Will discharge the client home with antibiotics and with the instruction that the client should follow-up with her primary physician in two weeks.
The nurse is teaching a client about their prescribed medications. For each education statement, click to specify if the statement is relevant to metronidazole or doxycycline.
- A. You will need to use a backup method of contraception.
- B. Avoid consuming and using products with alcohol.
- C. You may experience a darkening of your urine.
- D. Do not take this medication with food or drinks containing calcium.
Correct Answer: A,B,C,D
Rationale: A (Doxycycline): Doxycycline can reduce the effectiveness of hormonal contraceptives, requiring a backup method. B (Metronidazole): Alcohol should be avoided with metronidazole due to a disulfiram-like reaction. C (Metronidazole): Darkening of urine is a side effect of metronidazole. D (Doxycycline): Calcium-containing foods/drinks reduce doxycycline absorption.
A client with ulcerative colitis expresses serious concerns about her career as an attorney because of the effects of stress on ulcerative colitis. Which of the following stress interventions will be most helpful to the client?
- A. Review her current coping mechanisms and develop alternatives, if needed.
- B. Suggest a less stressful career in which she would still use her education and experience.
- C. Suggest that she ask her colleagues to help decrease her stress by giving her the easier cases.
- D. Prepare family members for the fact that she will have to work part-time.
Correct Answer: A
Rationale: Reviewing and developing coping mechanisms helps the client manage stress nbr without assuming drastic changes like altering her career or relying on others to adjust her workload. Preparing family for part-time work is premature and not directly stress-focused. CN: Psychosocial adaptation; CL: Synthesize
A client uses timolol maleate (Timoptic) eyedrops. The expected outcome of this beta-adrenergic blocker is to control glaucoma by:
- A. Constricting the pupils.
- B. Dilating the canals of Schlemm.
- C. Reducing aqueous humor formation.
- D. Improving the ability of the ciliary muscle to contract.
Correct Answer: C
Rationale: Timolol maleate, a beta-adrenergic blocker, reduces intraocular pressure by decreasing the production of aqueous humor in the eye.
The family members caring for a 72-year-old client who is near death from colon cancer are concerned about dehydration. What should the nurse tell them about dehydration at end of life?
- A. The physician will make the decision regarding hydration therapy.
- B. Dehydration may prolong the dying process.
- C. Hydration is used only in extreme situations of dehydration.
- D. Dehydration is expected during the dying process.
Correct Answer: D
Rationale: Dehydration is a natural part of the dying process and is often not treated aggressively in hospice care, as it may not cause discomfort and can reduce symptoms like edema.
After treatment with radioactive iodine (RAI) in the form of sodium iodide 131I, the nurse teaches the client to:
- A. Monitor for signs and symptoms of hyperthyroidism.
- B. Rest for 1 week to prevent complications of the medication.
- C. Take thyroxine replacement for the remainder of the client's life.
- D. Assess for hypertension and tachycardia resulting from altered thyroid activity.
Correct Answer: C
Rationale: RAI often destroys enough thyroid tissue to cause hypothyroidism, requiring lifelong thyroxine replacement. Monitoring for hyperthyroidism is unnecessary post-treatment, and rest or assessing for hypertension/tachycardia are not primary concerns.