Questions 107

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Health Care of the Older Adult NCLEX Questions

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Question 1 of 5

A 36-year-old female is scheduled to receive external radiation therapy and a cesium implant for cancer of the cervix. Which of the following statements would be most accurate to include in the teaching plan about the potential effects of radiation therapy on sexuality?

Correct Answer: B

Rationale: Vaginal dryness is a common side effect of cervical radiation due to mucosal changes, and should be included in the teaching plan to prepare the client.

Question 2 of 5

A client who has been diagnosed with renal calculi reports that the pain is intermittent and less colicky. Which of the following nursing actions is most important at this time?

Correct Answer: B

Rationale: Straining urine is critical when pain becomes intermittent, indicating possible stone passage, to confirm stone expulsion and guide treatment.

Question 3 of 5

A client with a fracture develops compartment syndrome. Which of the following signs should alert the nurse to impending organ failure?

Correct Answer: D

Rationale: Dark, scanty urine indicates renal failure, a potential complication of compartment syndrome due to myoglobin release.

Question 4 of 5

Prior to being transported to the surgery suite, the nurse asks the client whether he has any allergies. The client responds, 'Doesn't anyone communicate with anyone? I have been asked that question over and over!' What is the nurse's best response?

Correct Answer: D

Rationale: Explaining that repeated allergy checks are for safety and verification reassures the client while clarifying the purpose of the question. This response addresses the client's frustration and emphasizes the importance of the process.

Question 5 of 5

The nurse is aware that a 65-year-old widower whose only son is 500 miles away is at higher risk for psychosocial distress because the client:

Correct Answer: D

Rationale: Minimal social support, due to being widowed and geographically isolated from his son, increases the risk of psychosocial distress in this cancer client.

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