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Which of the following areas is a priority to evaluate when completing discharge planning for a client who has had a lobectomy for treatment of lung cancer?
- A. The support available to assist the client at home.
- B. The distance the client lives from the hospital.
- C. The client's ability to do home blood pressure monitoring.
- D. The client's knowledge of the causes of lung cancer.
Correct Answer: A
Rationale: Home support is critical post-lobectomy to assist with recovery, medication adherence, and monitoring complications. Distance from the hospital, blood pressure monitoring, and knowledge of cancer causes are less immediate priorities.
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A client with ulcerative colitis is prescribed mesalamine (Asacol). The nurse should instruct the client to report which of the following side effects immediately?
- A. Mild headache.
- B. Slight rash.
- C. Worsening diarrhea.
- D. Fatigue.
Correct Answer: C
Rationale: Worsening diarrhea in a client with ulcerative colitis taking mesalamine may indicate a lack of therapeutic response or a serious adverse effect, requiring immediate reporting. Mild headache, slight rash, and fatigue are less urgent but should be monitored. CN: Pharmacological and parenteral therapies; CL: Synthesize
The nurse is discharging a client who is prescribed antitubercular medications for pulmonary tuberculosis. The nurse is concerned about an adverse reaction to the medications if the client
- A. lives with a roommate and works as a flight attendant.
- B. has an implanted hormonal intrauterine device (IUD).
- C. smokes one pack of cigarettes per day.
- D. drinks three glasses of red wine each day.
Correct Answer: D
Rationale: Alcohol consumption, such as drinking three glasses of red wine daily, increases the risk of hepatotoxicity when taking antitubercular medications like isoniazid and rifampin, which are metabolized by the liver. Choice A is irrelevant to medication reactions, though it may pose a transmission risk. Choice B (IUD) and Choice C (smoking) do not directly interact with antitubercular medications to cause adverse reactions.
When a client is receiving a cephalosporin, the nurse must monitor the client for which of the following?
- A. Drug-induced hemolytic anemia.
- B. Purpura.
- C. Infectious emboli.
- D. Ecchymosis.
Correct Answer: A
Rationale: Cephalosporins can rarely cause drug-induced hemolytic anemia by triggering an immune response that destroys red blood cells. The nurse should monitor for signs such as jaundice, dark urine, or a drop in hemoglobin. Purpura, infectious emboli, and ecchymosis are not commonly associated with cephalosporin use.
The nurse is assisting a client who has had a spinal fusion apply a back brace. In which order of priority should the nurse assist the client applying the brace?
- A. Have the client in a side-lying position.
- B. Verify the order for the settings for the brace.
- C. Ask the client to stand with arms held away from the body.
- D. Assist the client to log roll and rise to a sitting position.
Correct Answer: B,A,D,C
Rationale: Verifying the order ensures correct settings, side-lying positions the client safely, log rolling prevents twisting, and standing allows proper brace fitting.
A nurse is caring for a client at home on hospice care for terminal renal cancer. People are calling the nurse to inquire about the client's condition. The nurse should tell the callers:
- A. Please call the oncologist.
- B. The client is in a coma now.
- C. Please call the client's sister.
- D. The client is not expected to live much longer.
Correct Answer: C
Rationale: Directing callers to the client's sister respects privacy and ensures consistent communication, aligning with the family's preferences in hospice care.