Questions and Answers
The nurse is caring for a client scheduled for removal of a pituitary tumor using the transsphenoidal approach. The nurse should be particularly alert to:
A client with cancer is admitted to the oncology unit. Stat lab values reveal Hgb 12.6, WBC 6500, K+1.9, uric acid 7.0, Na+136, and platelets 178,000. The nurse evaluates that the client is experiencing which of the following?
A 24 year-old female client is scheduled for surgery in the morning. Which of the following is the primary responsibility of the nurse?
The nurse is working in the emergency room when a client arrives with severe burns. Which action should receive priority?
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The nurse is visiting a home health client with osteoporosis. The client has a new prescription for alendronate (Fosamax). Which instructions should be given to the client?
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The nurse is making initial rounds on a client with a C5 fracture and Crutchfield tongs. Which equipment should be kept at the bedside?
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An infant weighs 7 pounds at birth. The expected weight by 1 year should be:
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A client is admitted with Ewing's sarcoma. Which symptoms would be expected due to this tumor's location?
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The nurse is caring for a client with epilepsy who is being treated with carbamazepine (Tegretol). Which laboratory value might indicate a serious side effect of this drug?
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A 6-month-old client is admitted with possible intussusception. Which question during the nursing history is least helpful in obtaining information regarding this diagnosis?
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The nurse is assisting a client with diverticulosis to select appropriate foods. Which food should be avoided?
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Study Notes
Pituitary Tumor Removal
- Nasal congestion is a significant concern during transsphenoidal approach pituitary tumor removal as it can obstruct the airway.
Cancer Lab Values
- Hypokalemia is indicated by a potassium level of 1.9, while other values (Hgb 12.6, WBC 6500, uric acid 7.0, Na+136, platelets 178,000) are within normal limits.
Pre-Surgery Responsibilities
- The nurse's primary responsibility pre-surgery is to take vital signs, while obtaining consent, explaining procedure details, and checking lab work fall under the doctor's duties.
Emergency Burns Care
- For clients with severe burns on the neck and face, applying oxygen is the priority action to ensure airway integrity before starting IVs or managing pain.
Osteoporosis Medication
- Alendronate (Fosamax) should be taken exclusively with water, and clients must remain upright for at least 30 minutes post-ingestion to prevent esophageal irritation.
C5 Fracture Management
- A torque wrench must be kept by the bedside for clients with Crutchfield tongs; it is essential for adjusting the screws safely and effectively.
Infant Weight Guidelines
- An infant born weighing 7 pounds is expected to weigh around 21 pounds by their first birthday, as they typically triple their birth weight.
Ewing's Sarcoma Symptoms
- Bone pain is a prominent symptom associated with Ewing's sarcoma, a type of bone cancer.
Carbamazepine Side Effects
- A low WBC count (2,000 per cubic millimeter) in clients on carbamazepine (Tegretol) indicates potential bone marrow suppression, a serious side effect of the medication.
Intussusception History Taking
- When assessing a 6-month-old with suspected intussusception, asking about the child's usual diet is the least helpful compared to inquiries about pain or vomit characteristics.
Diverticulosis Dietary Considerations
- Cucumber salad should be avoided by clients with diverticulitis, as certain foods can exacerbate their condition.
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Description
Prepare for the NCLEX-PN exam with this set of practice questions focusing on key nursing concepts. Each flashcard presents a scenario requiring critical thinking related to patient care. Enhance your knowledge and readiness for the exam with targeted practice.
