NCLEX Unit 6

The nurse is assisting in providing a session to community members about the risks associated with laryngeal cancer. Which statement by a client indicates an understanding of the risk factors? 1. "Exposure to airborne carcinogens can cause this type of cancer." 2. "Alcohol consumption is not associated with this form of cancer." 3. "Cigarette smoking does not contribute to the development of this type of cancer." 4. "Persistent use of the voice is not associated with this type of cancer, unless spitting up of blood occurs."

1. "Exposure to airborne carcinogens can cause this type of cancer."

The nurse is assisting a client who has just been given a hearing aid to wear for the first time. When reinforcing client teaching, the nurse should include which instruction? 1. "The hearing aid should not be worn if an ear infection is present." 2. "The ear mold should be washed with mild soap and water once a month." 3. "The hearing aid should be removed at the end of the day and then turned off after removal." 4. "The hearing aid contains a lifelong battery, so there is no need to be concerned about changing batteries."

1. "The hearing aid should not be worn if an ear infection is present."

Beta Blockers

olol" Cardiac Specific Anti-hypertensive Action: They occupy epinephrine receptor sites blocking epinephrine from getting into the cells. This block of epi and norepinephrine allows the heat to beat more slowly with less force reducing blood pressure.

Angiotensin Converting Enzyme (ACE Inhibitor)

"pril" Anti-hypertensive Action: Suppress renin-angiotensin aldosterone system; blocks conversion of angiotensin I to angiotensin II; a potent vasoconstrictor

Sodium hypochlorite (Dakin's solution) is prescribed for a client with a leg wound containing purulent drainage. The nurse is assisting in developing a plan of care for the client and includes which in the plan? 1. Ensure that the solution is freshly prepared before use. 2. Allow the solution to remain in the wound following irrigation. 3. Soak a sterile dressing with the solution and pack into the wound. 4. Apply the solution to the wound and on normal skin tissue surrounding the wound.

1. Ensure that the solution is freshly prepared before use.

Which nursing interventions are appropriate for a client recovering from surgery for retinal detachment? Select all that apply. 1. Monitor for hemorrhage. 2. Administer eye medications. 3. Maintain the eye patch or shield. 4. Assist with activities of daily living. 5. Encourage coughing and deep breathing. 6. Educate regarding symptoms of retinal detachment

1. Monitor for hemorrhage. 2. Administer eye medications. 3. Maintain the eye patch or shield. 4. Assist with activities of daily living. 6. Educate regarding symptoms of retinal detachment

The nurse is assisting in caring for the client immediately after removal of the endotracheal tube following radical neck dissection. The nurse interprets that which sign experienced by the client should be reported immediately to the registered nurse (RN)? 1. Stridor 2. Lung congestion 3. Occasional pink-tinged sputum 4. Respiratory rate of 26 breaths

1. Stridor

4 Stages of Pharmacokinetics

1. Absorption (getting in) 2. Distribution (moving around) 3. Metabolism (changing) 4. Elimination (getting out)

After a renal biopsy, the client complains of pain at the biopsy site, which radiates to the front of the abdomen. Which would this indicate? 1. Bleeding 2. Infection 3. Renal colic 4. Normal, expected pain

1. Bleeding

Capecitabine (Xeloda) is prescribed for a client with metastatic breast cancer. The nurse reinforces information to the client about the medication including what frequent side effect? 1. Diarrhea 2. Headache 3. Myalgia 4. Dyspepsia

1. Diarrhea

Which instruction should the nurse reinforce to the client with diabetes mellitus receiving acarbose (Precose)? Select all that apply. 1. "Take the medication at bedtime." 2. "Take the medication with each meal." 3. "Take the medication on an empty stomach." 4. "Side effects include abdominal bloating and flatus." 5. "Take some form of glucose if hypoglycemia occurs." 6. "Report symptoms such as shortness of breath or tiredness."

2. "Take the medication with each meal." 4. "Side effects include abdominal bloating and flatus." 5. "Take some form of glucose if hypoglycemia occurs." 6. "Report symptoms such as shortness of breath or tiredness."

Which client is at risk for developing thyrotoxicosis? 1. A client with hypothyroidism 2. A client with Graves' disease who is having surgery 3. A client with diabetes mellitus scheduled for debridement of a foot ulcer 4. A client with diabetes insipidus scheduled for an invasive diagnostic test

2. A client with Graves' disease who is having surgery

A client has had surgery to repair a fractured left hip. The nurse plans to use which important item when repositioning the client from side to side in the bed? 1. Bed pillow 2. Abductor splint 3. Adductor splint 4. Overhead trapeze

2. Abductor splint

Neuroleptic malignant syndrome is suspected in a client who is taking chlorpromazine. Which medication should the nurse prepare in anticipation of the prescription to treat this adverse effect related to the use of chlorpromazine? 1. Protamine sulfate 2. Bromocriptine (Parlodel) 3. Phytonadione (vitamin K) 4. Enalapril maleate (Vasotec)

2. Bromocriptine (Parlodel)

The nurse has applied a hypothermia blanket to a client with a fever. The nurse should inspect the skin frequently to detect which complication of hypothermia blanket use? 1. Frostbite 2. Skin breakdown 3. Arterial insufficiency 4. Venous insufficiency

2. Skin breakdown

The nurse is assisting in caring for a client with a respiratory tract infection who is receiving intravenous tobramycin sulfate (Tobrex). The nurse is instructed to monitor for adverse effects of the medication. The nurse understands that which finding is indicative of an adverse effect of this medication? 1. Nausea 2. Vertigo 3. Vomiting 4. Hypotension

2. Vertigo

A licensed practical nurse (LPN) is reviewing the medical record of a newly assigned client and notes that the client is receiving cyclobenzaprine hydrochloride (Flexeril) for the treatment of muscle spasms. The LPN questions the prescription if which disorder is noted in the admission history? 1. Hypothyroidism 2. Chronic bronchitis 3. Recurrent pneumonia 4. Angle-closure glaucoma

4. Angle-closure glaucoma

The nurse in a health care provider's office has scheduled a client with dermatitis to be seen in 1 week for a patch test. The nurse should reinforce instructions to the client to do which action before the procedure? 1. Refrain from eating solid food on the day of the test. 2. Do not eat or drink anything on the morning of the test. 3. Shower using povidone-iodine on the morning of the test. 4. Discontinue the prescribed antihistamine 2 days before the test.

4. Discontinue the prescribed antihistamine 2 days before the test.

A client has undergone total hip replacement of the right hip, which was damaged by osteoarthritis. Which action should be included in the postoperative plan of care? 1. Assist the client in keeping her legs as close together as possible. 2. Ensure the client receives her daily tablet of enoxaparin (Lovenox). 3. Remind the client to use a handrail if she is lowering her hips into a 120-degree flexion. 4. Partial weight bearing on the operative leg is usually permitted 72 hours postoperatively.

4. Partial weight bearing on the operative leg is usually permitted 72 hours postoperatively.

A client with a respiratory disorder has anorexia secondary to fatigue and dyspnea while eating. The nurse determines that the client has followed the recommendations to improve intake if which action is taken? 1. The client selects foods that are very dry. 2. The client increases the use of milk products. 3. The client increases the use of stimulants, such as caffeine. 4. The client plans to eat the largest meal of the day at a time when hungry.

4. The client plans to eat the largest meal of the day at a time when hungry.

Anti-Anginals

Action: Dilate coronary arteries and cause systemic vasodilation (nitrates); Dilate coronary arteries and some slow heart rate (calcium channel blockers); Decrease myocardial oxygen consumption by decreasing heart rate (beta blockers)

Calcium Channel Blockers

Anti-hypertensive Action: Inhibits cardiac excitability by blocking the transport of calcium to the myocardium & vascular smooth muscle cells. Blocks calcium access to the cells causing a decrease in contractility, decrease in arteriole pressure,

A client is diagnosed with left-sided heart failure. Which assessment findings will the nurse expect the client to have? Select all that apply. A. Peripheral edema B. Crackles in both lungs C. Breathlessness D. Ascites E. Tachypnea

B. Crackles in both lungs C. Breathlessness E. Tachypnea

Anti-Infectives

Bacteriostatic or bactericidal, broad spectrum or narrow spectrum, culture and sensitivity to determine which to use.Cephalosporin's are prophylactive during surgery

Drugs that may cause harm to a fetus

Medications you may encounter in family medicine which may cause harm to the fetus: o ACE-inhibitors (X) o Coumadin (X) o HMG-CoA reductase inhibitors ("statins") (X) o Live vaccines: varicella, MMR, Small-pox (X) o Contraceptives (D or X) o Anticonvulsants: Phenytoin, Valproic Acid (D) o Retinoids (X) o Tetracyclines (D) o Ergotamine (X)

Lipid Lowering Agents

Statins, Resins, Niacins, Fibrins, Zetia

A client complaining of chest pain has an as-needed (PRN) prescription for sublingual nitroglycerin (Nitrostat). Before administering the medication to the client, the nurse should first check which? 1. Blood pressure 2. Cardiac rhythm 3. Respiratory rate 4. Peripheral pulses

1. Blood pressure

The home care nurse is prescribing dressing supplies for a client who has an allergy to latex. The nurse asks the medical supply personnel to deliver which? 1. Elastic bandages 2. Adhesive bandages 3. Brown Ace bandages 4. Cotton pads and silk tape

4. Cotton pads and silk tape

The nurse should anticipate the use of which medications in the treatment of the client with heart failure? Select all that apply. 1. Diuretics 2. Anticoagulants 3. Anticholinergics 4. Cardiac glycosides 5. Phosphodiesterase (PDE) inhibitors 6. Angiotensin-converting enzyme (ACE) inhibitors

1. Diuretics 4. Cardiac glycosides 5. Phosphodiesterase (PDE) inhibitors 6. Angiotensin-converting enzyme (ACE) inhibitor