The nurse is performing an assessment on a patient. How would the nurse best evaluate improvement or deterioration in the neurologic status?

Assessing pupils for reactivity, equality, symmetry, and accommodation

Obtaining vital signs every four hours while hospitalized

Performing serial Glasgow Coma Scales throughout hospitalization

Performing a Mini Mental Status Exam at admission and discharge

Answer and Explanation

The Correct Answer is C

A. Assessing pupils is important, but it provides only partial information about the overall neurologic status and does not give a comprehensive picture of improvement or deterioration.
B. Vital signs can indicate some changes in condition but are not specific to neurologic status and do not provide detailed insight into cognitive or motor function.
C. Performing serial Glasgow Coma Scales allows for a standardized and objective assessment of a patient's level of consciousness, motor responses, and verbal responses over time, making it the most effective method to evaluate neurologic status.
D. The Mini Mental Status Exam provides useful information about cognitive function but may not capture acute changes in neurologic status as effectively as the Glasgow Coma Scale.

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Correct Answer is A

Explanation

A. A profound feeling of tiredness is a common side effect of radiation therapy due to fatigue caused by the treatment itself and the body's response to cancer.
B. Renal impairment is not a typical direct side effect of radiation therapy for esophageal cancer; it is more commonly associated with treatments targeting the kidneys or systemic therapies.
C. Expectoration of frothy sputum may indicate pulmonary issues or fluid overload but is not a common side effect specifically related to radiation therapy for esophageal cancer.
D. Development of bone marrow suppression is possible but less common specifically with radiation therapy compared to chemotherapy, which is more directly associated with this side effect.

A. "I need to use a soft toothbrush to prevent bleeding." B. "It is ok to continue to babysit my six-year-old grandchild." C. "I will call my oncologist when I have an increased temperature." D. "I have to wear a mask at all times."

Correct Answer is C

Explanation

A. Using a soft toothbrush is appropriate for preventing bleeding, but it does not directly indicate an understanding of neutropenia or its implications for infection risk.
B. Babysitting a young child may expose the client to infections, which is not safe for someone with neutropenia. This statement shows a lack of understanding.
C. Calling the oncologist when experiencing an increased temperature is critical because it may indicate an infection, which is a major concern for clients with neutropenia. This statement reflects an appropriate understanding of the condition.
D. While wearing a mask can be beneficial in some situations, stating that it must be worn at all times is not necessary and shows a misunderstanding of the guidelines for reducing infection risk in neutropenia.

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The nurse is performing an assessment on a patient. How would the nurse best evaluate improvement or deterioration in the neurologic status?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

In assessing a client with esophageal cancer being treated with radiation therapy, which finding(s) would alert the nurse to a possible side effect of this treatment?

Correct Answer is A

Explanation

What statement indicates that the client understands teaching about neutropenia as a result of bone marrow suppression?

Correct Answer is C

Explanation

The nurse is participating in a health screening clinic and is preparing teaching materials about colorectal cancer. Which risk factor for colorectal cancer should the nurse include?

In evaluating dietary teaching for the client with chemotherapy-induced neutropenia, the nurse would be concerned if the client made which food choice?

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A client has numerous skin lesions. Which one will the nurse evaluate first?

In planning teaching sessions for a client undergoing photodynamic therapy for lung cancer, the nurse should include which statement?

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