The most dangerous metabolic side effect of general anesthesia that can occur during surgery is:         A. Hyperglycemia      B. Hyperthermia      C. Hypoglycemia      D. Hypothermia           Correct Answer: B. Hyperthermia Malignant hyperthermia is the most dangerous metabolic side effect of general anesthesia. Malignant hyperthermia is a severe reaction to certain… Read More »

The most common dose-limiting toxicity of chemotherapy is:         A. Nausea and vomiting.      B. Bloody stools.      C. Myelosuppression.      D. Inability to ingest food orally due to stomatitis and mucositis.           Correct Answer: C. Myelosuppression. The overall goal of cancer chemotherapy is to give a dose large enough to be… Read More »

Louie, who is to receive a blood transfusion asks the nurse what is the most common type of infection he could receive from the transfusion. The nurse teaches him that approximately 1 in 250,000 patients contract:         A. Human immunodeficiency disease (HIV)      B. Hepatitis C infection      C. Hepatitis B infection      D. West… Read More »

Orlando who has been taking steroids for rheumatoid arthritis over several years presents with a compression vertebral fracture. This fracture is due to:         A. An entirely separate condition.      B. The osteoporotic effect of long-term steroid use.      C. Deterioration in rheumatoid arthritis.      D. An excessively high dose of steroids.        … Read More »

The client who is human immunodeficiency virus seropositive has been taking saquinavir (Invirase). The nurse provides medication instructions and advises the client to:         A. Take the medication in the morning before meals.      B. Include a low-fat diet.      C. Weight gain is expected.      D. Avoid being exposed to sunlight.        … Read More »

When assessing clients for evidence of a penicillin allergy, which of the following symptoms may not be considered to be a true hypersensitivity reaction?         A. Wheezing      B. Nausea      C. Urticaria      D. Angioneurotic edema           Correct Answer: B. Nausea GI disturbances such as nausea are usually caused by direct irritation or… Read More »

Mr. Baltazar will be undergoing surgery with general anesthesia. The client should be given which of the following instructions preoperatively?         A. Eat a big breakfast      B. Expect to be incontinent of urine postoperatively      C. Double your medication doses      D. Expect nausea, vomiting, shivering, and pain postoperatively           Correct… Read More »

Chemotherapy induces vomiting by:         A. Stimulating neuroreceptors in the medulla.      B. Inhibiting the release of catecholamines.      C. Autonomic instability.      D. Irritating the gastric mucosa.           Correct Answer: A. Stimulating neuroreceptors in the medulla. Vomiting (emesis) is initiated by a nucleus of cells located in the medulla called the… Read More »

A male patient with blood type AB, Rh factor positive needs a blood transfusion. The Transfusion Service (blood bank) sends type O, Rh factor negative blood to the unit for the nurse to infuse into this patient. The nurse knows that:         A. This donor blood is incompatible with the patient’s blood.      B. Premedication… Read More »

Tom is admitted to the emergency department with an acute spinal cord injury. Methylprednisolone is contraindicated for treatment when the injury:         A. Is a high cervical lesion.      B. Occurred less than 4 hours ago.      C. Occurred less than 8 hours ago.      D. Occurred more than 8 hours ago.        … Read More »