The nurse is providing teaching to a client who has breast cancer about the adverse effects of chemotherapy. Which of the following client statements indicates an understanding of the teaching?

"I will run my toothbrush in the dishwasher every month"

"I call my doctor if I notice any excessive menstrual bleeding"

"I will avoid crowds to keep from infecting others"

"I will take the antiemetic as soon as the chemotherapy infusion is complete"

Answer and Explanation

The Correct Answer is B

Rationale:
A. While keeping a toothbrush clean is important, running it in the dishwasher monthly is not an effective or necessary method of infection prevention. A soft-bristled toothbrush should be rinsed and replaced regularly.
B. Excessive menstrual bleeding can indicate thrombocytopenia, a serious side effect of chemotherapy, and should be reported immediately. This statement shows appropriate understanding.
C. Clients with neutropenia should avoid crowds to protect themselves from infection, not to prevent spreading it to others.
D. Antiemetics are most effective when taken before chemotherapy begins, not after the infusion is complete.

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Correct Answer is B

Explanation

Rationale:
A. Purulent drainage is a sign of possible infection and requires prompt evaluation and intervention.
B. Clear, serous drainage is expected in the first 24 to 72 hours after pin placement and is not typically a cause for concern. It is a normal part of the healing process.
C. Pain combined with purulent drainage suggests infection, which is a serious complication of skeletal traction.
D. Inflammation and purulent drainage are both signs of possible infection at the pin site and warrant further investigation.

A. "It strengthens the lower esophageal sphincter to prevent herniation." B. "It reduces the amount of acid your stomach produces" C. "It helps move food through your digestive tract more quickly." D. "It neutralizes the acid in your stomach after meals."

Correct Answer is B

Explanation

Rationale:
A. Omeprazole does not strengthen the lower esophageal sphincter; it reduces acid production to relieve symptoms associated with acid reflux.
B. Omeprazole is a proton pump inhibitor (PPI) that works by reducing gastric acid secretion, helping to relieve symptoms like heartburn and esophageal irritation caused by hiatal hernia.
C. Moving food more quickly through the GI tract is the role of prokinetic agents, not PPIs.
D. Neutralizing stomach acid is the action of antacids, not omeprazole.

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The nurse is providing teaching to a client who has breast cancer about the adverse effects of chemotherapy. Which of the following client statements indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is evaluating the pin sites of a client who has been in skeletal traction for 24 hours. The nurse would be least concerned with which finding?

Correct Answer is B

Explanation

A client with a hiatal hernia is prescribed omeprazole (Prilosec). Which explanation by the nurse best describes the purpose of this medication?

Correct Answer is B

Explanation

A nurse is caring for a client who is being admitted for an acute exacerbation of ulcerative colitis. Which of the following actions should the nurse take first?

A nurse is preparing a teaching plan for a client who has neutropenia as a result of radiation therapy for the treatment of lung cancer. Which of the following should the nurse plan to include in the teaching?

A client is being weaned from total parenteral nutrition (TPN) and is expected to begin taking solid food today. The ongoing solution rate has been 100mL/hour. The nurse anticipates a change in orders regarding the TPN solution.

The nurse is teaching self-care to a client with a newly applied cast to the forearm. Which of the following does the nurse instruct the client to notify the practitioner immediately?

What is the most important nursing care aspect for a client with a new long leg cast?

The nurse is caring for a client who was started on total parenteral nutrition (TPN) 2 days previously. The client complains of blurred vision, dry mouth, and frequent urination. Which is the nurse's priority action?

A nurse is conducting discharge teaching for a client with peptic ulcer disease. Which of the following findings would the client immediately report to the healthcare provider?

The nurse instructs the client with gastroesophageal reflux disease (GERD) regarding dietary measures. Which action demonstrates that the client has understood the recommended dietary changes?