A nurse is assessing a client who has a long history of smoking and is suspected of having laryngeal cancer. The nurse should anticipate that the client will report that her earliest manifestation was

Weight loss.

Hoarseness.

Dysphagia.

Dyspnea.

Answer and Explanation

The Correct Answer is B

A. Weight loss can occur as laryngeal cancer progresses, but it is not typically an early sign.

B. Hoarseness is often the earliest and most common symptom of laryngeal cancer. It occurs due to the involvement of the vocal cords.

C. Dysphagia, or difficulty swallowing, may develop as the cancer advances, but it is not usually the initial symptom.

D. Dyspnea, or difficulty breathing, can occur if the tumor obstructs the airway, but it is generally a later manifestation of laryngeal cancer.

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Correct Answer is C

Explanation

A. Neurologic deficits increasing over 2 weeks are more characteristic of subdural hematomas, not epidural hematomas.
B. A change in the level of consciousness that develops over 48 hours is typical of subdural hematomas.
C. An epidural hematoma often presents with a brief period of lucidity followed by a rapid decline in consciousness due to arterial bleeding.
D. Cognitive perception that decreases over several months post-injury is not typical of epidural hematomas, which generally cause acute and rapid changes.

Correct Answer is ["100"]

Explanation

- First, calculate the total volume to be infused over the desired time frame: 50 mL over 30 minutes.

- To find the rate in mL/hr, multiply the volume by 2 (since 30 minutes is half an hour), resulting in 100 mL/hr.

- Therefore, the nurse should set the IV pump to deliver 100 mL/hr to administer clindamycin 300 mg over 30 minutes.

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A nurse is assessing a client who has a long history of smoking and is suspected of having laryngeal cancer. The nurse should anticipate that the client will report that her earliest manifestation was

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has an epidural hematoma. Which of the following manifestations should the nurse expect?

Correct Answer is C

Explanation

Correct Answer is ["100"]

Explanation

A nurse is caring for a client who reports heart palpitations. An ECG confirms the client is experiencing ventricular tachycardia (VT). The nurse should anticipate the need for taking which of the following actions?

A nurse at a rehabilitation center is planning care for a client who had a left hemispheric cerebrovascular accident (CVA) 3 weeks ago. Which of the following goals should the nurse include in the client's rehabilitation program?

A nurse is caring for a client who develops a pulmonary embolism. Which of the following interventions should the nurse implement first?

A nurse caring for a client who had a right-sided stroke and is exhibiting homonymous hemianopsia when eating. Which of the following actions should the nurse take?

A nurse is suctioning the endotracheal tube of a client who is on a ventilator. The client's heart rate increases from 86/min to 110/min and becomes irregular. Which of the following actions should the nurse take?

A nurse is caring for a client who is postoperative following an open reduction internal fixation (ORIF) of a femur fracture. Which of the following parameters should the nurse include in the evaluation of the neurovascular status of the client's affected extremity? (Select all that apply.)

A nurse is observing the closed chest drainage system of a client who is 24 hr post thoracotomy. The nurse notes slow, steady bubbling in the suction control chamber. Which of the following actions should the nurse take?