Nokea
After a bilateral adrenalectomy for Cushing's disease, the client will receive periodic testosterone injections. The expected outcome of these injections is:
- A. Balanced reproductive cycle.
- B. Maintained fluid and electrolyte balance.
- C. Stimulated protein metabolism.
- D. Stabilized mood swings.
Correct Answer: C
Rationale: Testosterone injections post-adrenalectomy stimulate protein metabolism, supporting tissue repair and muscle maintenance.
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After a laminectomy, the client states, 'The physician said that I can do anything I want to.' Which of the following client-stated activities indicates the need for further teaching?
- A. Drying the dishes.
- B. Sitting outside on firm cushions.
- C. Making the bed walking from side to side.
- D. Sweeping the front porch.
Correct Answer: D
Rationale: Sweeping involves twisting and bending, which can strain the surgical site post-laminectomy.
The nurse anticipates that the client who has received epidural anesthesia is at decreased risk for a spinal headache because:
- A. A 17G needle is used.
- B. A subarachnoid injection is made.
- C. A noncutting needle is used.
- D. A faster onset occurs.
Correct Answer: C
Rationale: Epidural anesthesia uses a noncutting needle, reducing dural puncture risk and thus lowering the incidence of spinal headache compared to spinal anesthesia.
The nurse is caring for a 78-year-old male with lung cancer who is receiving chemotherapy. The client states he is not eating well but otherwise feels healthy. Which meal suggestion would be best for this client?
- A. Local health milk and strawberries.
- B. Toast, gelatin dessert, and cookies.
- C. Broiled chicken, green beans, and cottage cheese.
- D. Steak and french fries.
Correct Answer: C
Rationale: Broiled chicken, green beans, and cottage cheese provide high protein and nutrients with low fat, which is ideal for a client with poor appetite during chemotherapy to support nutrition without being heavy.
What is the nurse's priority for a client with an altered level of consciousness?
- A. Assess airway.
- B. Check reflexes.
- C. Monitor urine output.
- D. Perform a pain assessment.
Correct Answer: A
Rationale: Assessing the airway is the priority to ensure adequate oxygenation in a client with altered consciousness.
The nurse is caring for a client who is receiving prescribed aspirin. Which of the following findings would indicate the client is having an adverse effect?
- A. Polyuria
- B. Hypokalemia
- C. Venous thromboembolism
- D. Black, tarry stools
Correct Answer: D
Rationale: Black, tarry stools indicate gastrointestinal bleeding, a serious adverse effect of aspirin due to its antiplatelet and irritant properties.