Nokea
The client is diagnosed with cancer of the larynx and is to have radiation therapy to the area. Which prophylactic procedure will the nurse prepare the client for?
- A. Removal of the client's teeth and fitting for dentures.
- B. Take antiemetic medications every four (4) hours.
- C. Wear sunscreen on the area at all times.
- D. Placement of a nasogastric feeding tube.
Correct Answer: A
Rationale: Dental extraction (A) prevents radiation-induced tooth decay. Antiemetics (B), sunscreen (C), and NG tubes (D) are not prophylactic for laryngeal radiation.
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A patient is presenting with mild symptoms of pneumonia. The doctor diagnoses the patient with 'walking pneumonia'. From your nursing knowledge, you know this type of pneumonia is caused by what type of infectious agent?
- A. Fungi
- B. Streptococcus pneumoniae
- C. Mycoplasma pneumoniae
- D. Influenza
Correct Answer: C
Rationale: Walking pneumonia is commonly caused by Mycoplasma pneumoniae, a bacterium that leads to mild, community-acquired pneumonia. Fungi cause fungal pneumonia, Streptococcus pneumoniae causes typical bacterial pneumonia, and Influenza is a viral infection.
The client diagnosed with influenza A is being discharged from the emergency department with a prescription for antibiotics. Which statement by the client indicates an understanding of this prescription?
- A. These pills will make me feel better fast and I can return to work.
- B. The antibiotics will help prevent me from developing a bacterial pneumonia.
- C. If I had gotten this prescription sooner, I could have prevented this illness.
- D. I need to take these pills until I feel better; then I can stop taking the rest.
Correct Answer: B
Rationale: Antibiotics for influenza (B) prevent secondary bacterial pneumonia, not treat the virus. Quick recovery (A), prevention (C), and stopping early (D) are incorrect.
A patient has exercise-induced asthma. Which of the following actions can the patient perform to help prevent an attack during exercise. Select all that apply:
- A. Avoid warming up before exercise.
- B. Administer a short-acting beta agonist before exercise.
- C. Administer a short-acting beta agonist after exercise.
- D. Avoid exercising when experiencing a respiratory illness.
Correct Answer: B,D
Rationale: Using a short-acting beta agonist before exercise and avoiding exercise during respiratory illness help prevent exercise-induced asthma attacks. Warming up is beneficial, and post-exercise beta agonists are not preventive.
A patient received a nebulizer of Albuterol. What is a side effect of this medication?
- A. Bradycardia
- B. Tachycardia
- C. Drowsiness
- D. Feeling cold
Correct Answer: B
Rationale: Albuterol, a beta-agonist, commonly causes tachycardia as a side effect due to its stimulatory effects.
Where on the client should the nurse position the sensor of the pulse oximeter to obtain an accurate measurement?
- A. Apply it to the client's finger.
- B. Apply it to the client's palm.
- C. Clip it to the client's earlobe.
- D. Wrap it around the client's leg.
Correct Answer: A
Rationale: The finger is the most common and reliable site for pulse oximetry, providing accurate oxygenation readings.