A nurse is caring for a client who has Stage IV lung cancer and was prescribed opioid medications for pain management. The client is unable to engage in most physical activities. Which of the following manifestations should the nurse anticipate?

Mucositis

Bleeding

Impaction

Diarrhea

Answer and Explanation

The Correct Answer is C

Choice A reason:
Mucositis is an inflammation of the mucous membranes lining the digestive tract, which is commonly associated with chemotherapy and radiation therapy, not directly with opioid use. While it can be a concern for cancer patients, it is not a typical side effect of opioids.

Choice B reason:
Bleeding is not a common side effect of opioid medications. While cancer patients may experience bleeding due to various reasons, including the cancer itself or treatment-related issues, opioids do not typically cause bleeding.

Choice C reason:
Opioid-induced constipation (OIC) is a common side effect of opioid medications due to their action on the gastrointestinal tract. Opioids reduce gastrointestinal motility, leading to constipation, which can progress to impaction if not managed properly. This is a manifestation that nurses should anticipate and manage proactively in clients taking opioid medications for pain management.

Choice D reason:
Diarrhea is not typically associated with opioid use. In fact, opioids are more likely to cause constipation rather than diarrhea. Diarrhea may occur as a result of other treatments or conditions but is not a direct side effect of opioids.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

Choice A reason:
Thyroid hormones, particularly when taken in excess, can lead to bone loss and increase the risk of osteoporosis. This is because thyroid hormones can stimulate bone resorption, which is the process where bone tissue is broken down and the minerals are released into the bloodstream.

Choice B reason:
NSAIDs (Nonsteroidal Anti-Inflammatory Drugs) are not typically associated with an increased risk of osteoporosis. While long-term use of NSAIDs can have various side effects, they do not directly contribute to bone density loss or osteoporosis.

Choice C reason:
Anticoagulants, such as warfarin, have been associated with an increased risk of osteoporotic fractures. However, the evidence is not as strong as it is for other medications like corticosteroids or thyroid hormones.

Choice D reason:
Cardiac glycosides, used to treat heart conditions, have not been shown to be a direct risk factor for osteoporosis. While they affect heart muscle contractions, they do not have a known impact on bone metabolism.

A. "It is caused by the lack of production of insulin by the pancreas." B. "It is caused by the overproduction of growth hormone by the pituitary gland." C. "It is caused by the overproduction of parathormone by the parathyroid gland." D. "It is caused by the lack of production of aldosterone by the adrenal gland."

Correct Answer is D

Explanation

Choice A reason:
The lack of insulin production by the pancreas is related to diabetes mellitus, not Addison's disease. Insulin is a hormone that regulates blood sugar levels, and its deficiency leads to diabetes, not Addison's disease.

Choice B reason:
The overproduction of growth hormone by the pituitary gland leads to conditions such as acromegaly or gigantism, depending on the age at which the hormone levels become elevated. It is not related to Addison's disease, which involves the adrenal glands, not the pituitary gland.

Choice C reason:
The overproduction of parathormone by the parathyroid glands leads to hyperparathyroidism, which can cause a variety of symptoms including bone pain, kidney stones, and abdominal pain. This condition is not related to Addison's disease.

Choice D reason:
Addison's disease is indeed caused by the lack of production of hormones by the adrenal glands, particularly cortisol and aldosterone. Aldosterone helps to maintain blood pressure and the balance of sodium and potassium in the blood. When the adrenal glands do not produce enough aldosterone, it can lead to symptoms such as low blood pressure and salt cravings, which are characteristic of Addison's disease.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is caring for a client who has Stage IV lung cancer and was prescribed opioid medications for pain management. The client is unable to engage in most physical activities. Which of the following manifestations should the nurse anticipate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing risk factors for osteoporosis with a group of nursing students. The nurse should include that which of the following types of medication therapy is a risk factor for osteoporosis?

Correct Answer is A

Explanation

A staff nurse is teaching a client who has Addison's disease about the disease process. The client asks the nurse what causes Addison's disease. Which of the following responses should the nurse make?

Correct Answer is D

Explanation

A nurse is caring for a client who has erectile dysfunction. Which of the following lab tests should the nurse expect will be ordered to evaluate this client? (Select All that Apply.)

A nurse is discussing the differences between skeletal and skin traction with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates understanding?

A nurse is admitting a client to the surgical unit from the Post-Anesthesia Care Unit (PACU) following a cholecystectomy. Which of the following assessments is the nurse's priority?

A nurse is caring for a client who has hypovolemic shock. Which of the following should the nurse recognize as an expected finding?

A nurse is caring for a client who is scheduled for abdominal surgery. Which of the following nursing interventions should the nurse include in the preoperative education?

A nurse is planning care for a client who is 2 hours postoperative following a transurethral resection of the prostate (TURP). The client is receiving continuous bladder irrigation. Which of the following interventions should the nurse include?

A nurse is reviewing laboratory values for a client who has systemic lupus erythematosus (SLE). Which of the following values should give the nurse the best indication of the client's renal function?

A nurse is caring for an older adult client who has rheumatoid arthritis (RA) and is taking aspirin 650 mg every 4 hours. Which of the following diagnostic tests should the nurse monitor to evaluate the effectiveness of this medication?