James, 35, who is undergoing chemotherapy, has white lesions resembling milk curds in the back of his throat. His CBC shows reduced counts across the board. What question should the nurse ask?

Do you have a productive cough?

Are you taking any other medications?

Have you ever had oral herpes?

How often do you brush your teeth?

Answer and Explanation

The Correct Answer is B

A.   While coughing may be a symptom of certain conditions, it's not directly related to the presence of white lesions in the throat.
B.   Chemotherapy can suppress the immune system and predispose patients to oral candidiasis (thrush). It's important to inquire about other medications that may contribute to this condition or interact with chemotherapy.
C.   Oral herpes typically presents as cold sores or fever blisters and may not be directly related to the white lesions observed.

D.   While oral hygiene is important, the presence of white lesions in James's throat is more likely related to his medical condition and treatment than to dental hygiene habits.

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

Explanation

A. Assessing the client's airway protection is essential, as vocal cord paralysis can impair swallowing and increase the risk of aspiration.

B. He does not need a tracheostomy or stoma care unless he has severe respiratory distress or obstruction.
C. A Teflon injection into the vocal cords is a surgical procedure that can improve the voice quality of some patients with vocal cord paralysis, but it is not a nursing intervention and it has potential complications, such as granuloma formation and migration of the material.
D. Monitoring for signs of hypothyroidism is important since Tom is taking levothyroxine, a medication used to treat hypothyroidism.
E. Suggesting speech therapy consultation is appropriate to help Tom manage any speech difficulties resulting from vocal cord paralysis.

A. Transversus thoracis B. Internal intercostals C. Diaphragm D. External intercostals

Correct Answer is C

Explanation

A. Transversus thoracis is involved in expiration rather than inspiration.

B. Internal intercostals primarily aid in forced expiration.

C. The diaphragm contracts and moves downward during inspiration, increasing the vertical dimensions of the thoracic cavity and allowing air to enter the lungs.
D. External intercostals help elevate the ribs during inspiration but do not contribute significantly to increasing the vertical dimensions of the thoracic cavity.

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James, 35, who is undergoing chemotherapy, has white lesions resembling milk curds in the back of his throat. His CBC shows reduced counts across the board. What question should the nurse ask?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Tom, a 34-year-old man with a history of vocal cord paralysis post-thyroidectomy, comes to your clinic. He is currently taking levothyroxine. Which of the following nursing - interventions are appropriate for Tom? Select all that apply

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

Explanation

Emma, a 25-year-old athlete, undergoes a physical exam. During deep inspiration, which muscle is primarily responsible for increasing the vertical dimensions of her thoracic cavity?

Correct Answer is C

Explanation

Sophia, an outpatient clinic nurse, is assessing a 78-year-old patient, Robert, with chronic obstructive pulmonary disease (COPD). Which immunization should Sophia most strongly recommend that Robert receives annually?

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Linda, a 45-year-old patient, is admitted for pneumonia. She has a productive cough.Which respiratory defense mechanism is primarily responsible for removing the pathogenic microorganisms?