The nurse is caring for a patient who is admitted to a surgical unit after a thyroidectomy.
The nurse takes and maintains the inflated blood pressure cuff on the patient and observes a carpopedal spasm.
What does this result indicate to the nurse?

Thyroid storm and elevated triiodothyronine.

Homans sign and deep vein thrombosis.

Trousseau sign and overt tetany.

Chvostek sign and hypocalcemia.

Answer and Explanation

The Correct Answer is C

Choice A rationale

Thyroid storm is a severe complication of hyperthyroidism and is characterized by high fever, tachycardia, and altered mental state, not carpopedal spasm.

Choice B rationale

Homans sign is an indicator of deep vein thrombosis (DVT) and is not related to carpopedal spasms observed here.

Choice C rationale

Trousseau sign is a clinical sign of latent tetany seen in patients with hypocalcemia, characterized by carpopedal spasm when blood flow is occluded.

Choice D rationale

Chvostek sign is another sign of hypocalcemia, but it is indicated by facial muscle contraction when tapping the facial nerve, not carpopedal spasm.

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

Explanation

Choice A rationale

Neutropenia is a common side effect of chemotherapy for prostate cancer. It involves a low neutrophil count, making patients more susceptible to infections.

Choice B rationale

Alopecia, or hair loss, is a frequent side effect of chemotherapy due to the treatment attacking rapidly dividing cells, including hair follicles.

Choice C rationale

Thrombosis, the formation of blood clots, is not a typical side effect of chemotherapy for prostate cancer. While cancer itself may increase clotting risk, chemotherapy is not directly linked to thrombosis.

Choice D rationale

Lymphadenopathy, the enlargement of lymph nodes, is not a common toxicity of chemotherapy. It may occur in cancer progression or other infections but not directly due to chemotherapy.

Choice E rationale

Infertility can result from chemotherapy as it can harm reproductive cells. Patients may need to discuss fertility preservation methods before starting treatment.

A. Facial swelling and jugular vein distension (JVD). B. Muscle weakness, confusion, polyuria, and polydipsia. C. Flank pain, elevated uric acid, and cardiac monitor reveals an abnormal rhythm. D. Elevated liver function tests, jaundice, and blistering skin rash.

Correct Answer is C

Explanation

The correct answer is Choice C.

Choice A rationale

Facial swelling and jugular vein distension (JVD) are indicative of superior vena cava syndrome (SVCS), not tumor lysis syndrome (TLS). SVCS occurs when the superior vena cava, which carries blood from the head, neck, upper chest, and arms to the heart, is obstructed. This can lead to facial swelling, cyanosis, and distended neck veins due to increased venous pressure.

Choice B rationale

Muscle weakness, confusion, polyuria, and polydipsia are symptoms of hypercalcemia. Hypercalcemia is characterized by elevated levels of calcium in the blood, which can cause neuromuscular and cognitive symptoms, excessive urination, and increased thirst.

Choice C rationale

Tumor lysis syndrome (TLS) is characterized by rapid destruction of tumor cells, leading to elevated levels of uric acid, potassium, and phosphate. Symptoms include flank pain due to uric acid crystallization in the kidneys, and abnormal heart rhythms due to hyperkalemia.

Choice D rationale

Elevated liver function tests, jaundice, and blistering skin rash are symptoms of liver toxicity or hepatic dysfunction, possibly due to drug-induced liver injury. These symptoms are not related to tumor lysis syndrome (TLS).

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The nurse is caring for a patient who is admitted to a surgical unit after a thyroidectomy.The nurse takes and maintains the inflated blood pressure cuff on the patient and observes a carpopedal spasm.What does this result indicate to the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is assessing a patient with prostate cancer who is receiving chemotherapy.What findings will the nurse identify as potential toxicities of this treatment? Select All That Apply.

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

Explanation

The nurse is assessing a patient who has received the first dose of chemotherapy for leukemia.Which patient's clinical findings indicate to the nurse that the patient has developed tumor lysis syndrome (TLS)?

Correct Answer is C

Explanation

The nurse is caring for a patient who was treated for Addisonian crisis.What clinical change indicates to the nurse that the prescribed therapy was effective?

The nurse is caring for a patient with lung cancer who suddenly develops shortness of breath, jugular venous distention, and edema in the face, neck, and arms.The nurse promptly notifies the healthcare provider that the patient is exhibiting signs of which oncologic emergency?

The nurse is caring for a patient with leukemia who has an absolute neutrophil count (ANC) of 500/mm³. What interventions will the nurse include in the plan of care for this patient related to this finding? Select All That Apply.

The nurse on the oncology unit is caring for a patient receiving chemotherapy for treatment of leukemia.Which patient finding is the nurse's priority for implementing interventions?

The nurse is administering filgrastim (G-CSF) to a patient with colorectal cancer after finishing a cycle of chemotherapy.Which SMART Outcome will this intervention help to achieve?

The nurse is caring for a patient who is scheduled for thyroid diagnostic testing.Which information, that may affect the test results, should be documented on the patient's electronic medical record (EMR) and communicated to the personnel conducting the test?

The nurse is evaluating a patient with hyperthyroidism who is taking propylthiouracil (PTU) 100 mg/day for maintenance therapy.Which statement from the patient indicates the medication therapy is effective?

The nurse is caring for a patient with lymphoma who is receiving chemotherapy.The patient's laboratory results are below.What interventions will the nurse implement related to these results? ANC (Absolute neutrophil count): 2400/mm³. Hemoglobin: 8.4 g/dL. Hematocrit: 25.9%. Platelets: 6,000/mm³.

The nurse is caring for a patient who is admitted to a surgical unit after a thyroidectomy.
The nurse takes and maintains the inflated blood pressure cuff on the patient and observes a carpopedal spasm.
What does this result indicate to the nurse?