Nokea
Joan has osteoporosis. She has an increased risk for
- A. Infection in the bone.
- B. Peripheral blood clot formation.
- C. Fracture formation.
- D. Painful joint inflammation.
Correct Answer: C
Rationale: Osteoporosis weakens bones, increasing the risk of fractures.
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A client has a chest tube in place connected to wall suction due to a right-sided pneumothorax. The client complains of chest burning. Which of the following actions should be taken?
- A. Increase the wall suction.
- B. Strip the chest tube.
- C. Clamp the chest tube.
- D. Reposition the client.
Correct Answer: D
Rationale: The correct answer is D: Reposition the client. This action should be taken because chest burning could indicate that the chest tube is irritating the pleura. Repositioning the client may help alleviate the pressure on the pleura, reducing discomfort. Increasing wall suction (A) could worsen the irritation. Stripping the chest tube (B) is outdated and can cause damage. Clamping the chest tube (C) can lead to tension pneumothorax.
Which of the following cancer patients could less ergenically be placed together as roommates?
- A. A patient with a neutrophil count of 1000/mm³.
- B. A patient who underwent debulking of a tumor to relieve pressure.
- C. A patient receiving high-dose chemotherapy after a bone marrow harvest.
- D. A patient who is post-op laminectomy for spinal cord compression.
Correct Answer: B
Rationale: Patients undergoing debulking surgery are generally less immunocompromised compared to those receiving high-dose chemotherapy or with severely low neutrophil counts.
Which risk is more prone to clients who administer carbamazepine for bipolar disorder?
- A. Risk for injury
- B. Risk for self-directed violence
- C. Risk for imbalanced nutrition
- D. Risk for infection
Correct Answer: D
Rationale: Carbamazepine can suppress the immune system, increasing the risk of infections.
A patient with chronic cancer-related pain has started using MS Contin for pain control and has developed common side effects of the drug. The nurse reassures the patient that tolerance will develop to most of these side effects but that continued treatment will most likely be required for what?
- A. Pruritus
- B. Constipation
- C. Dizziness
- D. Nausea and vomiting
Correct Answer: B
Rationale: The correct answer is B. Constipation is a persistent side effect of opioids.
You are taking histories from several clients who report vertigo. Which client report concerns you the most?
- A. Vertigo with hearing loss
- B. Episodic vertigo
- C. Vertigo without hearing loss
- D. Merry-go-round' vertigo
Correct Answer: A
Rationale: Vertigo accompanied by hearing loss may indicate Meniere's disease or other serious inner ear disorders requiring prompt evaluation.