A nurse is caring for a patient who has a right-sided acoustic neuroma, resulting in impairment of cranial nerves IX and
X. Which of the following interventions should the nurse implement?

Avoid using warm water to wash the patient’s face.

Apply an eye patch to the patient’s right eye.

Provide range-of-motion exercises to the patient’s neck and shoulders.

Place suction equipment at the patient’s bedside.

Answer and Explanation

The Correct Answer is D

Choice A rationale

Avoiding warm water to wash the patient’s face is not typically necessary for a patient with a right-sided acoustic neuroma.

Choice B rationale

Applying an eye patch to the patient’s right eye is not typically necessary unless the patient is experiencing double vision, which is not a common symptom of acoustic neuroma.

Choice C rationale

Providing range-of-motion exercises to the patient’s neck and shoulders is not typically necessary for a patient with a right-sided acoustic neuroma.

Choice D rationale

Placing suction equipment at the patient’s bedside can be helpful if the patient is experiencing difficulty swallowing or has a risk of aspiration due to impairment of cranial nerves IX and X111213.

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Correct Answer is C

Explanation

Choice A rationale

Nystagmus, which is involuntary eye movement, is not a common adverse effect of a platelet transfusion.

Choice B rationale

Bradycardia, or a slow heart rate, is not typically associated with platelet transfusions.

Choice C rationale

Chills can be an adverse effect of a platelet transfusion. This could be a sign of a reaction to the transfusion, such as an allergic reaction or a febrile non-hemolytic transfusion reaction.

Choice D rationale

Hypothermia is not a common adverse effect of a platelet transfusion.

A. Provide a list of the client’s current medications during the change of shift report. B. Do not include over-the-counter medications in the medication reconciliation report. C. Do not perform reconciliation for a client at discharge from a health care facility. D. Provide a list of the client’s current medications during admission to a health care facility.

Correct Answer is D

Explanation

Choice A rationale

Providing a list of the client’s current medications during the change of shift report is not a part of medication reconciliation. While it is important to communicate about a patient’s medications during shift changes, medication reconciliation is a more comprehensive process that involves comparing the medications a patient is taking with newly ordered medications.

Choice B rationale

Over-the-counter medications should be included in the medication reconciliation report. Over-the-counter medications can interact with prescription medications and affect a patient’s health, so it’s important to include them in medication reconciliation.

Choice C rationale

Medication reconciliation should be performed for a client at discharge from a health care facility. This is a critical step in ensuring the patient continues to take the correct medications at home.

Choice D rationale

Providing a list of the client’s current medications during admission to a health care facility is a part of medication reconciliation. This helps to ensure that the patient’s medications are correctly managed during their stay in the facility.

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A nurse is caring for a patient who has a right-sided acoustic neuroma, resulting in impairment of cranial nerves IX andX. Which of the following interventions should the nurse implement?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a patient who is receiving a platelet transfusion. Which of the following findings is an adverse effect of the transfusion?

Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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A nurse is caring for a patient who has a right-sided acoustic neuroma, resulting in impairment of cranial nerves IX and
X. Which of the following interventions should the nurse implement?