immediate follow-up.)

Decreased lung sounds

Heart rate 110/min and regular

Oxygen saturation of 95%

Subcutaneous emphysema

Answer and Explanation

Correct Answer : A,B,D

A.   This may indicate a pneumothorax, which is a potential complication of thoracentesis.
B.   A heart rate of 110/min may indicate tachycardia, which can be a sign of hypoxia or other complications.
C.   While oxygen saturation of 95% is within the normal range, it is slightly lower than expected for a patient with respiratory distress.
D.   This may indicate air leakage into the subcutaneous tissue, which can be a sign of a pneumothorax or other complications.

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Correct Answer is C

Explanation

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.

A. Foot B. Left upper arm C. Left forearm D. Right forearm

Correct Answer is C

Explanation

1. 1. 1. The foot is not a typical site for obtaining a blood specimen by venipuncture.
    2. This arm is not ideal for venipuncture because the client is receiving IV fluids through an IV catheter in the basilic vein of the right forearm.
    3. The left forearm is a suitable site for venipuncture because the client is receiving IV fluids through an IV catheter in the basilic vein of the right forearm.
    4. The right forearm is not ideal for venipuncture because the client is receiving IV fluids through an IV catheter in the basilic vein of the right forearm.

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immediate follow-up.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Correct Answer is C

Explanation

A nurse is preparing to obtain a blood specimen from a client by venipuncture. The client is receiving IV fluids through an IV catheter inserted in the basilic vein of the right forearm. Which of the following sites should the nurse plan to use to obtain the blood specimen?

Correct Answer is C

Explanation

Some elderly people with health issues in a more established neighborhood are on fixed incomes and have trouble getting around. Which of the following could the community health nurse do to assist them?

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

A nurse is teaching a client who has been newly diagnosed with schizophrenia. Which of the following information should the nurse include?

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 assessing a client who has fluid overload. Which of the following findings should the nurse expect? (Select all that apply.)

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.