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 D

Explanation

A. Rubbing hands and arms to dry is not a step in the hand hygiene process. After washing, the hands should be dried thoroughly with a clean towel or air dryer.
B. Adjusting the water temperature to feel hot is not necessary for effective hand hygiene. The water should be warm, but not hot, to avoid skin damage.
C. Holding the hands higher than the elbows is not a step in the hand hygiene process.
D. Applying 4 to 5 mL of liquid soap to the hands is the correct amount of soap to use for effective hand hygiene. The soap should be rubbed onto the hands and wrists for at least 20 seconds before rinsing thoroughly with water.

A. "HIPAA established regulations of individually identifiable health information in verbal, electronic, or written form." B. "Information about a client can be disclosed to family members at any time." C. "A client's address would be an example of personally identifiable information." D. "HIPAA is a federal law, not a state law." E. Trachea midline

Correct Answer is B

Explanation

A. This statement is correct. HIPAA protects the privacy and security of individually identifiable health information.
B. HIPAA generally requires patient authorization for the disclosure of health information to family members.
C. Personally identifiable information includes any information that can be used to identify an individual, such as a client's name, address, or social security number.
D. HIPAA is a federal law that sets national standards for the protection of health information.

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

Correct Answer is D

Explanation

A nurse is reviewing information about the Health Insurance Portability and Accountability Act (HIPAA) with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates a need for further teaching?

Correct Answer is B

Explanation

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?

Whenever a nurse is caring for clients who are receiving warfarin (Coumadin), which of the following medications should the nurse have on hand in the event of an overdose?

A nurse is educating a group of clients about addiction. The nurse should include that which of the following factors increases the potential for addiction?

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 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?

A nurse is caring for a female client who has bulimia nervosa and reports frequent self-induced vomiting. Which of the following findings should the nurse expect?

A nurse is caring for a 73-year-old client in the emergency department (ED). Exhibits It has been identified that the client is in sepsis. Select the 4 actions that the nurse should complete in the first hour to manage sepsis and prevent further complications.