NSG 4800 2026 With Complete Solutions
The nurse in the ambulatory care unit is providing home care instructions to a client after cryotherapy
for the treatment of malignant skin lesions. Which statement would be most appropriate for the nurse
to include in the home care instructions for this client?
"Apply ice to the site to prevent swelling."
"Clean the site with alcohol 3 times daily."
"Apply a warm, damp washcloth if discomfort occurs."
"Avoid showering or taking baths until seen by the health care provider in 1 week." - CORRECT
ANSWER✔✨-3, Cryotherapy involves the local application of liquid nitrogen to the lesion; this causes
cell death and tissue destruction. Tissue freezing is followed in 1 to 2 days by hemorrhagic blister
formation; therefore, ice is not applied to the site. The application of a warm, damp washcloth
intermittently to the site will provide relief of any discomfort. The nurse instructs the client to clean the
site with the prescribed solution to prevent secondary infection. A topical antibiotic also may be
prescribed. Alcohol would cause irritation to the skin. There is no reason for the client to avoid
showering or bathing.
A client is scheduled to begin therapy with carbamazepine. The nurse should assess the results of which
test(s) before administering the first dose of this medication to the client?
Liver function tests
Renal function tests
Pancreatic enzyme studies
Complete blood cell count - CORRECT ANSWER✔✨-D. Carbamazepine may be used to treat a seizure
disorder. It can cause leukopenia, anemia, thrombocytopenia, and, very rarely, fatal aplastic anemia. To
reduce the risk of serious hematological effects, a complete blood cell count should be done before
treatment and periodically thereafter. This medication should be avoided in clients with preexisting
hematological abnormalities. The client also is told to report the occurrence of fever, sore throat, pallor,
weakness, infection, easy bruising, and petechiae. The results of the remaining tests listed in the options
are not associated with the use of this medication.
, A client is being discharged from the emergency department after an evaluation for a concussion. The
nurse reinforces teaching regarding follow-up should the client develop complications. Which of the
following complications, if listed by the client, would require further instruction?
1.Vomiting
2.Minor headache
3.Difficulty speaking
4.Difficulty awakening - CORRECT ANSWER✔✨-2; all others responses would indicate IICP and needs
to go to the ER
The patient sustained an open fracture of the femur from an automobile accident. The nurse should
assess the client for which type of shock?
A. cardiogenic
B. hypovolemic
C. neurogenic
D. anaphylactic - CORRECT ANSWER✔✨-B. A fractured femur, especially an open fracture, can cause
much soft tissue damage and lead to significant blood loss. Hypovolemic shock can develop. Cardiogenic
shock occurs when cardiac output is decreased as a result of ineffective pumping. Neurogenic shock
occurs as a result of an impaired autonomic nervous system function. Anaphylactic shock is the result of
an allergic reaction.
The registered nurse has received a report on four clients. The nurse should first assess the client who
has:
A.Chronic Obstructive Pulmonary Disease (COPD) with a pulse oximetry reading of 89%
B.Parkinson's Disease and is demanding to leave the hospital against medical advice (AMA)
C.been admitted with suspected Guillian Barre Syndrome and has begun plasmapheresis therapy
D.Congestive Heart Failure (CHF) whose pitting edema has increased to 2(+) - CORRECT ANSWER✔✨-
C.
The client admitted with Guillain-Barre' Syndrome should be assessed first because of the possibility of
rapid progression of this illness and neuromuscular respiratory failure; clients with COPD are likely to
have pulse oximetry readings of 90% related to chronic hypoxia; this client along with the other two
choices are important, but not the priority.
The nurse in the ambulatory care unit is providing home care instructions to a client after cryotherapy
for the treatment of malignant skin lesions. Which statement would be most appropriate for the nurse
to include in the home care instructions for this client?
"Apply ice to the site to prevent swelling."
"Clean the site with alcohol 3 times daily."
"Apply a warm, damp washcloth if discomfort occurs."
"Avoid showering or taking baths until seen by the health care provider in 1 week." - CORRECT
ANSWER✔✨-3, Cryotherapy involves the local application of liquid nitrogen to the lesion; this causes
cell death and tissue destruction. Tissue freezing is followed in 1 to 2 days by hemorrhagic blister
formation; therefore, ice is not applied to the site. The application of a warm, damp washcloth
intermittently to the site will provide relief of any discomfort. The nurse instructs the client to clean the
site with the prescribed solution to prevent secondary infection. A topical antibiotic also may be
prescribed. Alcohol would cause irritation to the skin. There is no reason for the client to avoid
showering or bathing.
A client is scheduled to begin therapy with carbamazepine. The nurse should assess the results of which
test(s) before administering the first dose of this medication to the client?
Liver function tests
Renal function tests
Pancreatic enzyme studies
Complete blood cell count - CORRECT ANSWER✔✨-D. Carbamazepine may be used to treat a seizure
disorder. It can cause leukopenia, anemia, thrombocytopenia, and, very rarely, fatal aplastic anemia. To
reduce the risk of serious hematological effects, a complete blood cell count should be done before
treatment and periodically thereafter. This medication should be avoided in clients with preexisting
hematological abnormalities. The client also is told to report the occurrence of fever, sore throat, pallor,
weakness, infection, easy bruising, and petechiae. The results of the remaining tests listed in the options
are not associated with the use of this medication.
, A client is being discharged from the emergency department after an evaluation for a concussion. The
nurse reinforces teaching regarding follow-up should the client develop complications. Which of the
following complications, if listed by the client, would require further instruction?
1.Vomiting
2.Minor headache
3.Difficulty speaking
4.Difficulty awakening - CORRECT ANSWER✔✨-2; all others responses would indicate IICP and needs
to go to the ER
The patient sustained an open fracture of the femur from an automobile accident. The nurse should
assess the client for which type of shock?
A. cardiogenic
B. hypovolemic
C. neurogenic
D. anaphylactic - CORRECT ANSWER✔✨-B. A fractured femur, especially an open fracture, can cause
much soft tissue damage and lead to significant blood loss. Hypovolemic shock can develop. Cardiogenic
shock occurs when cardiac output is decreased as a result of ineffective pumping. Neurogenic shock
occurs as a result of an impaired autonomic nervous system function. Anaphylactic shock is the result of
an allergic reaction.
The registered nurse has received a report on four clients. The nurse should first assess the client who
has:
A.Chronic Obstructive Pulmonary Disease (COPD) with a pulse oximetry reading of 89%
B.Parkinson's Disease and is demanding to leave the hospital against medical advice (AMA)
C.been admitted with suspected Guillian Barre Syndrome and has begun plasmapheresis therapy
D.Congestive Heart Failure (CHF) whose pitting edema has increased to 2(+) - CORRECT ANSWER✔✨-
C.
The client admitted with Guillain-Barre' Syndrome should be assessed first because of the possibility of
rapid progression of this illness and neuromuscular respiratory failure; clients with COPD are likely to
have pulse oximetry readings of 90% related to chronic hypoxia; this client along with the other two
choices are important, but not the priority.
