Sinclair Community College

When a client suffers a complete pneumothorax, there is danger of a mediastinal shift. If such a shift occurs, what potential effect is a cause for concern? 1 Rupture of the pericardium 2 Infection of the subpleural lining 3 Decreased filling of the right side of the heart 4 Increased volume of the unaffected lung - Answer 3 Pressure within the pleural cavity causes a shift of the heart and great vessels to the unaffected side. This not only decreases the capacity of the unaffected l...

A client who has a diagnosis of endometriosis is concerned about the side effect of hot flashes from her prescribed medications. Which medication should the nurse explain causes this side effect? 1 Estrogen 2 Leuprolide 3 Diclofenac 4 Ergonovine - Answer 2 A client at the women's health clinic tells the nurse that she has endometriosis. What factors associated with endometriosis does the nurse anticipate the client will report? Select all that apply. 1 Insomnia 2 Ecchymosi...

Cephalexin (Keflex) - Answer Anti infective Mastitis Treats gram + and some - SE: GI disturbances Ibuprofen (Motrin) - Answer NSAID Mastitis. Leuprolide (Lupron) - Answer GnRH agonist Endometriosis Given IM once a month for 6 months. Reduces estradiol and testosterone levels in both sexes SE: hot flashes (medically induced menopause) osteoporosis Nafarelin (Synarel) - Answer GnRH agonist Endometreosis Given intranasal twice daily for up to 6 months Goserelin (...

A client with a history of liver disease is found to have endometriosis. Which drug is contraindicated in this client? 1 Danazol 2 Celecoxib 3 Leuprolide 4 Ketoconazole - Answer 1 Which gonadotropin-releasing hormone agonists are used to treat endometriosis? Select all that apply. 1 Trazodone 2 Diclofenac 3 Leuprolide 4 Isotretinoin 5 Nafarelin acetate - Answer 3 5 A 15-year-old adolescent is diagnosed with endometriosis. The client has severe, acute, and incap...

Which action would the nurse take when caring for a client having an acute episode of anxiety? Select all that apply. One, some, or all responses may be correct. A. Staying with the client B. Giving brief directions C. Using short, simple sentences D. Linking the client's behavior to feelings E. Teaching a cognitive therapy principle F. Having the client write an assessment of strengths - Answer A, B, C, D, E, F RAT- Staying with the client conveys acceptance and the ability t...

Which laboratory value will be most important for the nurse to monitor to determine whether a client with chest pain has acute coronary syndrome (ACS)? A. Troponin T (cTnT) B. C-reactive protein (CRP) C. Low-density lipoprotein (LDL) D. B-type natriuretic protein (BNP) - Answer A These are released into circulation within hours after myocardial injury or infarction, and elevation in troponin levels helps determine that the client is experiencing ACS. The other three values will als...

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