Nokea
A nurse is caring for a client who is receiving chemotherapy. Which of the following laboratory values should the nurse monitor?
- A. White blood cell count
- B. Blood urea nitrogen
- C. Serum albumin
- D. Cholesterol
Correct Answer: A
Rationale: Chemotherapy can cause leukopenia, so monitoring white blood cell count is essential to assess infection risk.
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A nurse is monitoring a client who is postoperative following a thyroidectomy. Which of the following findings should indicate to the nurse that the client is developing a thyroid storm?
- A. Decreased body temperature
- B. Increased incisional drainage
- C. Hypertension
- D. Bradycardia
Correct Answer: C
Rationale: Hypertension is correct. Thyroid storm is a severe, acute exacerbation of hyperthyroidism, and it is associated with hypertension, tachycardia, fever, and other symptoms of sympathetic nervous system overactivity.
A nurse is caring for a client who has a new diagnosis of peripheral artery disease. Which of the following findings should the nurse expect?
- A. Intermittent claudication
- B. Weight gain
- C. Bradycardia
- D. Hypotension
Correct Answer: A
Rationale: Intermittent claudication, pain in the legs during activity, is a common symptom of peripheral artery disease due to reduced blood flow.
A nurse is caring for a 2-year-old child who has Clostridium difficile. Which of the following actions should the nurse take?
- A. Instruct the parents to avoid bringing fresh flowers into the room.
- B. Use an N95 respirator.
- C. Initiate contact precautions.
- D. Place the child in a room that has a HEPA filtration system.
Correct Answer: C
Rationale: Initiating contact precautions is correct. Clostridium difficile is highly contagious and spreads through spores that can survive on surfaces. Contact precautions, including the use of gloves and gowns and proper hand hygiene with soap and water, help prevent transmission.
A nurse is reinforcing teaching with a client who is scheduled for a barium swallow. Which of the following instructions should the nurse include?
- A. Fast for 8 hours before the procedure.
- B. Avoid dairy products after the procedure.
- C. Expect to receive sedation during the procedure.
- D. Take a laxative before the procedure.
Correct Answer: A
Rationale: Fasting for 8 hours before a barium swallow ensures a clear view of the esophagus and stomach.
A nurse is caring for a client who has a new prescription for bupropion. Which of the following adverse effects should the nurse monitor for?
- A. Insomnia
- B. Weight gain
- C. Bradycardia
- D. Hypotension
Correct Answer: A
Rationale: Bupropion, an antidepressant, can cause insomnia due to its stimulatory effect on the central nervous system.