The physician recommends a carotid endarterectomy for a client with atherosclerosis and a history of transient ischemic attacks (TIAS). The nurse explains that this procedure involves:

bypassing the plaques with another artery.

removal of plaques in the artery in the neck.

brain surgery to remove the diseased plaques.

resection of a diseased artery in the brain and replacing it with a Gortex graft.

Answer and Explanation

The Correct Answer is B

A.   A carotid endarterectomy does not involve bypassing the plaques; rather, it directly addresses the blockage.
B.   Carotid endarterectomy is a surgical procedure that involves making an incision in the neck to access the carotid artery, where the surgeon removes the atherosclerotic plaques that are causing narrowing and restricting blood flow. This helps reduce the risk of stroke.
C.   Carotid endarterectomy is not brain surgery; it is performed on the carotid arteries in the neck. The procedure aims to prevent strokes by improving blood flow to the brain, but it does not involve surgery on the brain itself.
D.   This description does not accurately reflect carotid endarterectomy. The procedure does not involve resecting an artery in the brain or using a graft; rather, it focuses on removing plaques from the carotid artery in the neck.

Nursing Test Bank

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Correct Answer is C

Explanation

A. This choice is not relevant to reducing the risk of cervical cancer. Hormone replacement therapy (HRT) is primarily used to manage symptoms of menopause and does not have a protective effect against cervical cancer.
B. While colposcopy is a diagnostic procedure used to evaluate abnormal cervical findings, it is not a routine screening method. The primary screening method for cervical cancer is the Pap test (Papanicolaou test) combined with HPV (human papillomavirus) testing. Colposcopy is usually performed after an abnormal Pap test result, not on a yearly basis for general screening.
C. Utilizing safer sex methods, such as consistent use of condoms and reducing the number of sexual partners, can help decrease the risk of acquiring HPV, which is the primary cause of cervical cancer. Promoting safe sexual practices is a key component of cervical cancer prevention.
D. This choice is not effective for reducing the risk of cervical cancer. While vaginal ultrasounds may be used for various gynecological assessments, they are not a screening tool for cervical cancer and do not reduce the risk of developing the disease.

A. Increase and vary fluid intake B. Take an antipyretic such as aspirin every morning C. Use fragrance free gel soap to bathe D. Use analgesics as needed E. Install grab bars in the shower to prevent falls

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

Explanation

A. Multiple myeloma can lead to dehydration and kidney problems. Increasing fluid intake helps to prevent these complications and can also help to reduce the risk of infections.
B. This statement is incorrect. Aspirin should not be taken unless prescribed by a doctor. It can increase the risk of bleeding in people with multiple myeloma.
C. Multiple myeloma can weaken the immune system, making the client more susceptible to infections. Using fragrance-free gel soap can help to reduce the risk of skin irritation and infections.
D. Multiple myeloma can cause bone pain. Using analgesics as needed can help to manage this pain and improve the client's quality of life.
E. Multiple myeloma can weaken bones, increasing the risk of fractures. Installing grab bars in the shower can help to prevent falls and reduce the risk of injuries.

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Blood Cell	Normal Ranges
Red blood cells (mature, circulating)	Male 4.51-6.01 million/mm3 Female: 4.01-5.51 million/mm3
Hemoglobin	Adult (15-64 yr) Male 14-17.3 g/dL Female 11.7-15.5 g/dL
Hematocrit	42% -52% in males 36% -48% in females
Reticulocytes	0.5% -2.5% of total RBC count
White blood cells (total)	4.5-11.1 103/mm3
Neutrophils	59% Bands 3% Segs-56%
Eosinophils	2.7%
Basophils	0.5%
Lymphocytes	34%
Monocytes	4%
Platelets	150,000-450,000/mm3

The physician recommends a carotid endarterectomy for a client with atherosclerosis and a history of transient ischemic attacks (TIAS). The nurse explains that this procedure involves:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which one of the following topics should the nurse include in a community health promotion seminar to illustrate ways to reduce the risk of cervical cancer?

Correct Answer is C

Explanation

The nurse is developing a discharge plan about home care for a client diagnosed with multiple myeloma. The nurse should emphasize which of the following? (SELECT ALL THAT APPLY)

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

Explanation

What genetic abnormality would a nurse expect in a client diagnosed with Chronic Myelogenous Leukemia (CML)?

To prevent the reoccurrence of prostatitis, the nurse should provide the client with which discharge instruction?

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The nurse, caring for a client diagnosed with testicular cancer, should anticipate a medical prescription for which of the following tumor marker studies? A/An:

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