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 C

Explanation

A. Reviewing the client's medications requires a higher level of education and training than most assistive personnel have.
B. Notifying the case manager of the client's wishes for community resources requires a higher level of education and training than most assistive personnel have.
C. Assisting the client with bathing and oral care is within the scope of practice for most assistive personnel.
D. Assessing the client's wound requires a higher level of education and training than most assistive personnel have.

A. Pupillary dilation B. Elevated heart rate C. Hypertension D. Tachypnea

Correct Answer is B

Explanation

A. Fentanyl, an opioid, typically causes pupillary constriction, not dilation. This is known as miosis.
B. Fentanyl can cause bradycardia or tachycardia, but tachycardia is more common in acute toxicity.
C. Fentanyl is more likely to cause hypotension (low blood pressure) rather than hypertension (high blood pressure).
D. Fentanyl can cause respiratory depression, leading to hypoventilation and possibly bradypnea or apnea, but tachypnea (rapid breathing) is less likely to occur as a direct effect of fentanyl toxicity.

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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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A home health nurse is working with assistive personnel (AP) to care for a client in their home. Which of the following tasks can the nurse assign to the AP?

Correct Answer is C

Explanation

A nurse is caring for a client who has been brought to the emergency department and is experiencing acute fentanyl toxicity. The nurse should expect to observe which of the following adverse effects in this client?

Correct Answer is B

Explanation

A nurse in the emergency department is monitoring a client who has a cervical spinal cord injury from a fall. The nurse should monitor the client for which of the following complications? (Select all that apply.)

A school nurse is helping a special needs student with tube feeding during the lunch hour. Which of the following levels of prevention does this fall under?

A nurse is caring for a client who has a new diagnosis of urolithiasis. Which of the following should the nurse identify as an associated risk factor?

A nurse is among the first responders to a mass-casualty incident and does not know what type of personal protective equipment (PPE) is needed. Which of the following actions should the nurse take?

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?

A nurse is caring for a client who is 1-day postoperative following a total laryngectomy and has begun a soft diet. The client is not eating well and tells the nurse that the hospital food has no taste. Which of the following responses is appropriate for the nurse to make?

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 preparing to perform hand hygiene. Which of the following actions should the nurse take?