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

Infertility.

Diarrhea.

Dysphagia.

Dyspnea.

Answer and Explanation

The Correct Answer is C

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.

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

Explanation

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.

A. Family history B. Diuretic use C. BMI less than 25 D. Hypocalcemia

Correct Answer is A

Explanation

A. A family history of urolithiasis is a risk factor for developing the condition. Genetic factors can influence the risk of developing kidney stones.
B. Diuretic use can increase the risk of kidney stone formation by increasing the concentration of certain substances in the urine that can lead to stone formation.
C. A body mass index (BMI) less than 25 is not typically considered a risk factor for urolithiasis. Obesity, however, can be a risk factor for certain types of kidney stones.
D. Hypocalcemia (low calcium levels) can increase the risk of certain types of kidney stones, particularly those composed of calcium oxalate or calcium phosphate. However, hypocalcemia is not a common risk factor for urolithiasis.

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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

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immediate follow-up.)

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

Explanation

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?

Correct Answer is A

Explanation

A nurse in the emergency department is monitoring a client who has a cervical spinal cord injury from a fall. The nurse should monitor the client for which of the following complications? (Select all that apply.)

A nurse is caring for a client who regularly uses methamphetamine and is experiencing blood vessel constriction and spasming. The nurse should identify that the client is at high risk for developing which of the following conditions?

A nurse is conducting a primary survey of a client who has sustained life-threatening injuries due to a motor-vehicle crash. Identify the sequence of actions the nurse should take. (Move the actions into the box on the right, placing them in the selected order of performance. Use all the steps.)

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.

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

A nurse is reviewing information about the Health Insurance Portability and Accountability Act (HIPAA) with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates a need for further teaching?

A nurse is preparing to perform hand hygiene. Which of the following actions should the nurse take?