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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","D","E","G"]
Explanation
A. Inserting a nasogastric (NG) tube is not a priority action in the initial management of sepsis.
B. Measuring lactate levels is a priority action in the initial management of sepsis. Elevated lactate levels indicate tissue hypoxia and are associated with increased mortality in septic patients.
C. Obtaining a wound culture is not a priority action in the initial management of sepsis.
D. Administering broad-spectrum antibiotics is a priority action in the initial management of sepsis. Prompt antibiotic therapy is associated with improved outcomes in septic patients.
E. Obtaining blood cultures is a priority action in the initial management of sepsis. Blood cultures help identify the causative organism and guide antibiotic therapy.
F. Type and cross-matching for packed RBCs is not a priority action in the initial management of sepsis.
G. Rapidly administering 30 mL/kg of normal saline is a priority action in the initial management of sepsis. This bolus of fluid helps restore tissue perfusion and hemodynamic stability.
H. Obtaining a urine specimen is not a priority action in the initial management of sepsis.
Correct Answer is B
Explanation
A. Aphasia, or difficulty with language comprehension and expression, is more commonly associated with left hemisphere strokes.
B. Inability to recognize family members is a possible manifestation of right hemisphere stroke, particularly if the stroke affects the right parietal lobe. This condition is called prosopagnosia.
C. Right hemiparesis, or weakness on the right side of the body, is a possible manifestation of left hemisphere stroke, not right hemisphere stroke.
D. Difficulty reading is more commonly associated with left hemisphere strokes, which affect language centers involved in reading.
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