Match using the choices provided:

Considered primary treatment for small cell lung cancer (SCLC)

Used to prevent metastasis to the brain

Electric current heats and destroys tumor cells

Best procedure for cure of lung cancer

Medications that block molecules involved in tumor

Answer and Explanation

Correct Answer : A,B,C,D,E

a. Considered primary treatment for small cell lung cancer (SCLC): Chemotherapy b. Used to prevent metastasis to the brain: Prophylactic cranial radiation

c. Electric current heats and destroys tumor cells: Radiofrequency ablation d. Best procedure for cure of lung cancer: Surgery

e. Medications that block molecules involved in tumor: Biologic and targeted

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Correct Answer is B

Explanation

Loop diuretics, such as furosemide, are known to cause potassium loss as they increase urine output. A potassium level of 1.5 mEq/L indicates severe hypokalemia (low potassium levels), which can be potentially dangerous and lead to various complications, including cardiac arrhythmias.

Hence, it is important to hold the dose of the loop diuretic and notify the physician so that appropriate interventions can be taken to address the low potassium level, such as prescribing potassium supplementation or adjusting the dosage of the loop diuretic.

A sodium level of 144 is within the normal range (135-145 mEq/L) and does not require immediate action.

A blood pressure of 102/78, although it may indicate hypotension, does not necessarily require holding the dose of the loop diuretic unless it is accompanied by other significant symptoms or clinical concerns.

A calcium level of 9 mg/dL falls within the normal range (8.5-10.5 mg/dL) and does not necessitate holding the loop diuretic dose.

A. Bleeding posterior to the nasal packing. B. Oral dryness caused by nasal packing. C. An adverse reaction to the analgesic. D. A normal response to the analgesic and surgery.

Correct Answer is B

Explanation

After rhinoplasty, nasal packing is often used to control bleeding and provide support to the nasal structures. Nasal packing can cause oral dryness, as it obstructs the normal airflow through the nasal passages, leading to mouth breathing. Mouth breathing, in turn, can cause dryness of the oral mucosa and throat, resulting in the sensation of dryness and the need to swallow frequently.

While bleeding is a possible complication after rhinoplasty, the patient's symptom of frequent swallowing is more indicative of oral dryness rather than bleeding.

Although adverse reactions to analgesics can occur, frequent swallowing is not a common symptom associated with analgesic adverse reactions. Other signs such as rash, difficulty breathing, or changes in vital signs would be more typical in case of an adverse reaction. Swallowing can be a normal response to surgery, but in this scenario, the most likely cause is the oral dryness caused by the nasal packing rather than a direct response to the analgesic.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Your patient is ordered a loop diuretic at 1000. Which finding below would require you to hold the dose and notify the physician for further orders?

Correct Answer is B

Explanation

A patient, age 23, underwent a rhinoplasty 6 hours ago. After administering his pain medication, the nurse notes that he is swallowing frequently. What is the most likely cause of the swallowing?

Correct Answer is B

Explanation

A patient, age 23, underwent a rhinoplasty 6 hours ago. After administering his pain medication, the nurse notes that he is swallowing frequently. What is the most likely cause of the swallowing?

A child diagnosed with Kawasaki disease is brought to the clinic. The mother reports that her child is irritable, refuses to eat, and has skin peeling on both hands and feet. Which intervention should the nurse instruct the mother to implement first?

In reviewing the electrolytes of a patient, the nurse notes the serum potassium level has increased from 4.3 mEq/L to 5.9 mEq/L. Which assessment does the nurse initiate first to prevent further harm?

A nursing instructor is teaching a group of nursing students about antihistamines. Which statement by a student indicates an understanding of the mechanism of action of the antihistamines?

Celecoxib is what class of drug?

The nurse is caring for a patient with COPD. Which intervention could be delegated to unlicensed assistive personnel (UAP)?

The nurse is delegating ambulation for a client to an experienced Patient Care Technician (PCT).Which teaching will the nurse provide to the PCT? (Select all that apply.)