N342 NCLEX with Rationales questions with answers 2024

N342 NCLEX with RationalesA patient has been receiving chemotherapy and radiation for a diagnosis of non-Hodgkin's lymphoma. In your morning assessment, you notice the patient has new onset facial edema, distention of head and neck veins, and dyspnea. Which oncologic emergency would be suspected? a. Hypercalcemia b. Spinal Cord Compression c. Superior Vena Cava Syndrome (SVCS) d. Tumor Lysis Syndrome (TLS) - correct answer C. Superior Vena Cava Syndrome (SVCS) The manifestations in the patient are all seen in SVCS in addition to headache, seizures, and often a mediastinal mass found on a chest x-ray. This complication is common with lung cancer, metastatic breast cancer, and non-Hodgkin's lymphoma When providing education to a patient newly diagnosed with cirrhosis, what information should be included? (select all that apply) a. Inform the patient that cirrhosis is an acute condition that can be alleviated with the correct drug regimen b. Avoid aspirin and NSAIDs to prevent hemorrhage c. Limit alcohol consumption to one drink per week d. Teach symptoms of complications and when to seek medical attention e. Avoid hepatotoxic over-the-counter (OTC) drugs - correct answer B, D, E B. In patients with cirrhosis, especially if they have esophageal or gastric varices as a comorbidity, use of aspirin and NSAIDs is discouraged. The damage cirrhosis causes to the liver lowers its ability to assist in clotting and taking aspirin and NSAIDs, which also have anticoagulant properties, can increase the risk of hemorrhage