Nokea
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.
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What should the nurse teach a client who is recommended antianxiety drugs?
- A. Use the drug on a long-term basis
- B. Avoid lifting heavy weights
- C. Use caution when driving
- D. Be aware that the drug causes excessive sleeplessness
Correct Answer: C
Rationale: Antianxiety drugs can impair motor skills, so clients should avoid driving or operating machinery until they know how the medication affects them.
If a client’s parathyroid glands were accidentally removed during a procedure, which condition should the nurse prepare for?
- A. Hypomagnesemia
- B. Hyperkalemia
- C. Hypernatremia
- D. Hypocalcemia
Correct Answer: D
Rationale: Parathyroid glands regulate calcium levels. Their removal leads to hypocalcemia due to decreased parathyroid hormone production.
Which of the following describes task-oriented touch?
- A. It is used to demonstrate concern or affection.
- B. It involves the contact required for nursing procedures.
- C. The nurse uses task-oriented touch therapeutically when a client is lonesome.
- D. It involves the touch used for sensory-deprived clients.
Correct Answer: B
Rationale: Task-oriented touch is necessary for performing nursing procedures and ensuring client safety.
A nurse in the PACU is assessing a client who has an endotracheal tube (ET) in place and observes the absence of left-sided chest wall expansion upon respiration. Which of the following complications should the nurse suspect?
- A. Blockage of the ET tube by the client's tongue
- B. Passage of the ET tube into the esophagus
- C. Movement of the ET tube into the right main bronchus
- D. Infection of the vocal cords
Correct Answer: C
Rationale: The correct answer is C: Movement of the ET tube into the right main bronchus. When the nurse observes absence of left-sided chest wall expansion, it indicates that the ET tube may have moved into the right main bronchus. This can lead to inadequate ventilation of the left lung, causing unilateral chest wall expansion. The other choices are incorrect because: A) Blockage by the tongue would not result in unilateral chest wall expansion. B) Passage into the esophagus would lead to improper ventilation but not specifically affect one side of the chest. D) Infection of the vocal cords would not directly cause unilateral chest wall expansion.
What nursing action is most appropriate if Mr. Puff is lying flat in bed with shallow respirations and cyanosis?
- A. Change his nasal cannula to a Venturi mask
- B. Offer him water to increase his fluid intake
- C. Offer to walk him in the hall to increase his mobility
- D. Sit him up in bed with arms resting on pillows on the overbed table
Correct Answer: D
Rationale: Upright positioning enhances diaphragmatic movement and oxygenation.