A nurse is caring for a client scheduled to receive external radiation to the neck for cancer of the larynx. During a pre-treatment exam, the nurse explains to the client that the most likely side effect would be

Infertility.

Diarrhea.

Dysphagia.

Dyspnea.

Answer and Explanation

The Correct Answer is C

A.   While infertility can be a side effect of radiation therapy, it is not the most likely side effect for a client receiving radiation to the neck for laryngeal cancer.
B.   Diarrhea is not a common side effect of radiation therapy to the neck.
C.   Dysphagia, or difficulty swallowing, is a common side effect of radiation therapy to the neck, especially when the radiation affects the throat or esophagus.
D.   Dyspnea, or difficulty breathing, is not a common side effect of radiation therapy to the neck, although it may occur if the radiation affects the lungs.

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Correct Answer is ["0.5"]

Explanation

To calculate the number of tablets the nurse should dispense to the client, we need to convert the prescribed dose of digoxin from milligrams (mg) to micrograms (mcg), as the tablets are labeled in milligrams.

1 mg = 1000 mcg

125 mcg = (125 mcg) / (1000 mcg/mg) = 0.125 mg

Now, we can determine the number of tablets needed to achieve this dose:

0.125 mg ÷ 0.25 mg/tablet = 0.5 tablets

A. WBC 5,000/mm3 B. Platelets 150,000/mm3 C. CD4-T-cell count 180 cells/mm3 D. Positive Western blot test

Correct Answer is C

Explanation

A. A WBC count of 5,000/mm3 is within the normal range (4,000-11,000/mm3) and is not a priority value to monitor in a client with HIV.
B. A platelet count of 150,000/mm3 is within the normal range (150,000-400,000/mm3) and is not a priority value to monitor in a client with HIV.
C. The CD4-T-cell count is a key indicator of the immune system's function in clients with HIV. A CD4-T-cell count of 180 cells/mm3 is significantly below the normal range (500-1,500 cells/mm3) and indicates a weakened immune system, which is a priority concern in clients with HIV.
D. A positive Western blot test confirms the diagnosis of HIV, but it does not provide information about the severity of the client's condition or their immune system function.

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A nurse is caring for a client scheduled to receive external radiation to the neck for cancer of the larynx. During a pre-treatment exam, the nurse explains to the client that the most likely side effect would be

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Naxlex Comprehensive Predictor Exams

A client in the hospital is prescribed digoxin (Lanoxin) 125 mcg. The computerized medication delivery system on the unit dispenses tablets labeled digoxin 0.25 mg. How many tablets should the nurse dispense to the client?

Correct Answer is ["0.5"]

Explanation

A nurse is caring for a client who has HIV. Which of the following laboratory values is the nurse's priority?

Correct Answer is C

Explanation

A nurse is caring for a client who has a mental disorder. Which of the following statements by the client suggests the inability to process new information?

A nurse is caring for a client who regularly uses methamphetamine and is experiencing blood vessel constriction and spasming. The nurse should identify that the client is at high risk for developing which of the following conditions?

A nurse is conducting a primary survey of a client who has sustained life-threatening injuries due to a motor-vehicle crash. Identify the sequence of actions the nurse should take. (Move the actions into the box on the right, placing them in the selected order of performance. Use all the steps.)

Some elderly people with health issues in a more established neighborhood are on fixed incomes and have trouble getting around. Which of the following could the community health nurse do to assist them?

immediate follow-up.)

A nurse is caring for a client who has cancer and is receiving total parenteral nutrition (TPN). Which of the following lab values indicates the treatment is effective?

A nurse is teaching a client who has been newly diagnosed with schizophrenia. Which of the following information should the nurse include?

A nurse is preparing to obtain a blood specimen from a client by venipuncture. The client is receiving IV fluids through an IV catheter inserted in the basilic vein of the right forearm. Which of the following sites should the nurse plan to use to obtain the blood specimen?