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.

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Correct Answer is C

Explanation

Choice A reason:
A tingling sensation is not the primary concern when planning preoperative teaching for an amputation due to a severe gangrenous infection. While some patients may experience tingling due to nerve damage or as part of phantom limb sensation, the focus of preoperative teaching should be on managing pain and understanding the recovery process.

Choice B reason:
Telling a patient that their pain will gradually become less severe may be misleading. Post-amputation, patients often experience significant pain, including phantom limb pain, which can be intense and challenging to manage. Preoperative teaching should set realistic expectations about postoperative pain and its management.

Choice C reason:
Phantom pain is a real phenomenon experienced by many amputees, where they feel pain in the amputated limb as if it were still there. It is not merely psychological but has physiological underpinnings related to the nerves and brain's interpretation of signals. Preoperative teaching should include information about phantom limb pain, its potential occurrence, and strategies for managing it.

Choice D reason:
It is unrealistic to suggest that the pain will disappear soon after the amputation. Recovery from an amputation can be a lengthy process, and pain management is a critical component. Patients need to be prepared for the possibility of ongoing pain and the need for pain management strategies postoperatively.

A. The client is Black. B. The client has several sexual partners. C. The client is male. D. The client has sex with men. E. The client is 37 years old.

Correct Answer is ["B","C","D"]

Explanation

Choice A reason:
The statement "The client is Black" does not contribute to the risk of chlamydia based on race alone. Chlamydia infection rates are influenced by a variety of factors, including access to healthcare and socioeconomic status, rather than race itself.

Choice B reason:
Having multiple sexual partners significantly increases the risk of contracting sexually transmitted infections (STIs) like chlamydia because it raises the likelihood of exposure to an infected partner.

Choice C reason:
While being male is not a risk factor in itself, men who have sex with men (MSM) are at a higher risk for STIs like chlamydia due to biological and behavioral factors that facilitate transmission.

Choice D reason:
Engaging in sexual activities with men is a known risk factor for chlamydia among MSM due to the higher prevalence of this STI within this group.

Choice E reason:
The age of 37 does not specifically contribute to the risk of chlamydia. However, chlamydia is more commonly diagnosed in younger individuals, typically those under 25 years old, due to higher rates of new and multiple sexual partnerships.

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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 caring for a client who has a severe gangrenous infection of the right lower extremity. The nurse should plan preoperative teaching based on the possibility of which of the following amputation procedures?

Correct Answer is C

Explanation

A nurse is reviewing the medical record of a male client who has chlamydia. Which of the following factors contribute to the client's risk of chlamydia? (Select all that apply.)

Correct Answer is ["B","C","D"]

Explanation

A nurse is assessing a client who has a fluid volume deficit. The nurse should expect which of the following findings?

A nurse in a provider's office is assessing a client who has wrist pain. Which of the following findings is a manifestation of carpal tunnel syndrome?

A nurse is preparing a client who has AIDS for discharge. Which of the following statements should the nurse include in the discharge instructions?

A nurse is educating a client who has osteoarthritis of the knee. Which of the following explanations should the nurse give to the client as part of the disease process?

A nurse is providing teaching about dietary supplements to a client who has erectile dysfunction and has been prescribed nitroglycerin. Which of the following statements is the most important for the nurse to include in the teaching?

A nurse is providing breast self-examination teaching to a client who is menopausal. Which of the following statements should the nurse identify as an indication that the teaching was effective? (Select all that apply.)

A nurse is assessing a client who has a spinal cord injury with heterotopic ossifications. Which of the following findings should the nurse expect?

A nurse in a clinic is talking with a client who has a new diagnosis of osteoarthritis. The nurse should anticipate that the client will require teaching about which of the following medications?