Nokea
A client with suspected lymphoma is scheduled for lymphangiography. The nurse should inform the client that this procedure may cause which harmless, temporary change?
- A. Purplish stools
- B. Redness of the upper part of the feet
- C. Bluish urine
- D. Coldness of the soles
Correct Answer: C
Rationale: Lymphangiography is a procedure in which a contrast dye is injected into the lymphatic vessels to help identify abnormalities. One harmless, temporary change that a client may experience after lymphangiography is the passing of bluish urine. This happens as a result of the contrast dye being excreted in the urine, causing it to temporarily change color. It is important for the nurse to inform the client about this possibility to prevent unnecessary worry or concern after the procedure. No concerns are associated with purplish stools, redness of the upper part of the feet, or coldness of the soles after a lymphangiography.
You may also like to solve these questions
The nurse teaches a patient how to live with a new tracheostomy. Which of the ff. instructions is appropriate?
- A. "Never suction your tracheostomy; you might damage your trachea."
- B. ""You should not feel bad about the tracheostomy – you should be feel lucky to be alive."
- C. "Be sure to protect your tracheostomy from pollutants such as powders, hair and chemicals."
- D. "Your tracheostomy will be cleaned each time you visit your doctor."
Correct Answer: C
Rationale: Option C, "Be sure to protect your tracheostomy from pollutants such as powders, hair and chemicals," is the most appropriate instruction for a patient with a new tracheostomy. It is important to keep the tracheostomy site clean and free from any potential irritants or contaminants that could cause infection or complications. Powders, hair, and chemicals can lead to irritation or clogging of the tracheostomy tube, so it is crucial for the patient to be mindful of avoiding such pollutants near the tracheostomy site.
What does nursing care of the newborn with oral candidiasis (thrush) include?
- A. Avoiding use of pacifier
- B. Removing characteristic white patches with a soft cloth
- C. Continuing medication for a prescribed number of days
- D. Applying medication to oral mucosa, being careful that none is ingested
Correct Answer: D
Rationale: Nursing care of the newborn with oral candidiasis (thrush) includes applying medication to the oral mucosa, being careful that none is ingested. This is because oral candidiasis is a fungal infection caused by Candida fungus, and treating it requires antifungal medication to effectively clear the infection. It is crucial to apply the medication directly to the affected oral mucosa to target and eliminate the fungus. Care must be taken to ensure that none of the medication is accidentally ingested by the newborn during the application process. This approach helps provide direct treatment to the affected area and promotes quicker resolution of oral thrush.
A form of cancer therapy wherein a beam of high-energy electromagnetic radiation desires the cancer ceils?
- A. surgery
- B. radiation therapy
- C. chemotherapy
- D. pallitive treatment Situation: The nurse is assigned in a counseling clinic about preventive measures for cancers.
Correct Answer: B
Rationale: Radiation therapy is a form of cancer treatment that uses a beam of high-energy electromagnetic radiation to target and destroy cancer cells. The high-energy radiation damages the DNA in cancer cells, causing them to die or be unable to multiply. By precisely targeting the tumor with these radiation beams, radiation therapy helps to minimize damage to surrounding healthy tissues. This form of therapy is an essential component in the treatment of many types of cancer, either alone or in combination with surgery, chemotherapy, or other treatments.
The nurse is caring for a client with acquired immunodeficiency syndrome (AIDS). To adhere to standard precautions, the nurse should:
- A. Maintain strict isolation
- B. Wear gloves when providing mouth care
- C. Keep the client in a private room, if
- D. Wear a gown when delivering the client's possible food tray
Correct Answer: B
Rationale: Standard precautions are guidelines put in place to prevent the transmission of infectious agents. When caring for a client with AIDS, it is important for the nurse to wear gloves when providing mouth care to prevent the transmission of any potential infectious agents through contact with the client's saliva or blood. Maintaining strict isolation, keeping the client in a private room, or wearing a gown when delivering the client's possible food tray are not necessary as part of standard precautions for a client with AIDS.
A healthy 4-year-old child has a left flank mass. Computerized tomography (CT) scan of the abdomen shows a localized renal mass. Radical nephrectomy is performed; the histology shows clear cell sarcoma of the kidney. The MOST appropriate next step in the management is
- A. CT scan of the chest
- B. CT scan of the brain
- C. bone scan
- D. magnetic resonance imaging (MRI) of the brain
Correct Answer: C
Rationale: Clear cell sarcoma of the kidney has a propensity to metastasize to bones, making a bone scan essential.