Nokea
What should the nurse assess in a client receiving anticonvulsant therapy?
- A. Liver function.
- B. Blood pressure.
- C. Pain levels.
- D. Skin integrity.
Correct Answer: A
Rationale: Liver function is assessed due to the potential hepatotoxicity of anticonvulsant medications.
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Which of the following lipid abnormalities is a risk factor for the development of atherosclerosis and peripheral vascular disease?
- A. Low concentration of triglycerides
- B. High levels of high-density lipid (HDL) cholesterol
- C. High levels of low-density lipid (LDL) cholesterol
- D. Low levels of LDL cholesterol
Correct Answer: C
Rationale: High levels of low-density lipoprotein (LDL) cholesterol contribute to atherosclerosis by depositing cholesterol in arterial walls, leading to plaque formation and PVD. Low triglycerides, high HDL, or low LDL are protective or neutral, not risk factors.
A 45-year-old client had a complete abdominal hysterectomy with bilateral salpingo-oophorectomy 2 days ago. The client's abdominal dressing is dry and intact. In addition, the client is taking liquids and voiding a sufficient quantity of straw-colored urine. While sitting up in the chair after her bath, the client complains of severe pain and numbness in her left leg. The nurse should respond immediately by:
- A. Administering pain medication
- B. Assessing for edema in the left leg
- C. Assessing color and temperature of the left leg
- D. Encouraging the client to change her position
Correct Answer: C
Rationale: Severe pain and numbness post-hysterectomy suggest possible deep vein thrombosis (DVT) or arterial occlusion, common postoperative complications. Assessing color and temperature of the leg (e.g., pallor, coolness) helps identify circulatory compromise. Pain medication, edema assessment, or position change are less urgent.
A 36-year-old female is scheduled to receive external radiation therapy and a cesium implant for cancer of the cervix. Which of the following statements would be most accurate to include in the teaching plan about the potential effects of radiation therapy on sexuality?
- A. You can have sexual intercourse while the implant is in place.
- B. You may notice some vaginal dryness after treatment is completed.
- C. You may notice some vaginal relaxation after treatment is completed.
- D. You will continue to have normal menstrual periods during treatment.
Correct Answer: B
Rationale: Vaginal dryness is a common side effect of cervical radiation due to mucosal changes, and should be included in the teaching plan to prepare the client.
The nurse receives a prescription from the primary healthcare provider (PHCP) for metoprolol 5 mL intravenous (IV) push x 1 dose. The nurse should take which priority action before administering the medication?
- A. Clarify the prescription with the primary healthcare provider (PHCP)
- B. Assess vital signs
- C. Review the prescription with the pharmacist
- D. Assess the client's allergies
Correct Answer: A
Rationale: Metoprolol IV push prescriptions require clarification to ensure correct dosage and administration rate.
A client with an ileal conduit should report:
- A. Mucus in urine.
- B. Stoma bleeding.
- C. Yellow urine.
- D. No odor.
Correct Answer: B
Rationale: Stoma bleeding is abnormal and may indicate trauma or infection.