Pathophysiology practice exam questions scored A+

A 26-year-old male client with Hodgkins disease is scheduled to undergo radiation therapy. The client expresses concern about the effect of radiation on his ability to have children. What information should the nurse provide? -The radiation therapy causes the inability to have an erection -Radiation therapy with chemo causes temporary infertility -Permanent sterility occurs in male clients who receive radiation -The client should restrict sexual activity during radiotherapy - ANSWER--Permanent sterility occurs in male clients who receive radiation *Low sperm count and loss of motility are seen in males with Hodgkins disease before any therapy. The nurse hears short, high-pitched sounds just before the end of inspiration in the right and left lower lobes when auscultating a client's lungs. How should this finding be recorded? -Inspiratory wheezes in both lungs. -Crackles in the right and left lower lobes -Abnormal lung sounds in the bases of both lungs -Pleural friction rub in the right and left lower lobes - ANSWER--Crackles in the right and left lower lobes *Fine crackles are short, high pitched sounds heard just before the end of inspiration that are the result of rapid equalization of pressure when collapsed alveoli or terminal bronchioles suddenly snap open. A client is admitted to the ED with a tension pneumothorax. Which assessment should the nurse expect to ID? -An absence of lung sounds on the affected side -An inability to auscultate tracheal breath sounds -A deviation of the trachea toward the side opposite the pneumothorax -A shift of the point of maximal impulse to the left, with bounding pulses - ANSWER--A deviation of the trachea toward the side opposite the pneumothorax *Tension pneumothorax is caused by rapid accumulation of air in the pleural space, causing severely high intrapleural pressure. A client who is receiving a whole blood transfusion develops chills, fever, and a headache 30 minutes after the transfusion is started. The nurse should recognize these symptoms as characteristic of what reaction? -A mild allergic reaction -A febrile transfusion reaction