Questions 150

NCLEX-RN

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NCLEX RN Questions with Detailed Explanations Questions

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Question 1 of 5

A 30-year-old client is hospitalized with a fractured femur, which is being treated with skeletal traction. He states that he has not had a bowel movement for 2 days. Which of the following interventions is most appropriate at this time?

Correct Answer: C

Rationale: Increasing fluid intake promotes bowel motility, addressing constipation in a client immobilized by traction.

Question 2 of 5

Which site or technique would you expect to use to administer ferrous sulfate?

Correct Answer: C

Rationale: The Z-track technique is used for ferrous sulfate IM injections to prevent leakage and skin staining.

Question 3 of 5

A client is prescribed risperidone. Which laboratory study should the nurse anticipate to be prescribed before the initiation of this medication therapy?

Correct Answer: C

Rationale: Risperidone is an atypical antipsychotic medication that suppresses behavioral response in psychosis. Baseline assessment includes renal and liver function tests, and these studies should be done before the initiation of treatment. This medication is used with caution in clients with renal or hepatic impairment, clients with underlying cardiovascular disorders, and in older or debilitated clients. None of the other options are related to the administration of this medication.

Question 4 of 5

Which anatomical site and method should the nurse use to administer an injection of iron to a client?

Correct Answer: B

Rationale: The correct technique for administering parenteral iron is deep in the gluteal muscle using Z-track technique to minimize the possibility of staining or irritating the tissues. Administering iron subcutaneously or with a short needle and using the deltoid muscle is contraindicated because of iron's irritating nature.

Question 5 of 5

The nurse is caring for a client with a history of multiple sclerosis. Which of the following interventions should be included in the plan of care?

Correct Answer: A

Rationale: Daily exercise helps maintain mobility and strength in multiple sclerosis.

Similar Questions

As the registered nurse in the emergency department, you are taking care of an adolescent client who had just fractured their femur during gymnasium class at their high school. After casting, you will be discharging the client with crutches. Which of the following client goals that is paired with its learning domain should be included in the patient teaching plan for this client and the parents?
A client with a diagnosis of Parkinson's disease is prescribed pramipexole (Mirapex). The nurse should monitor the client for which of the following side effects?
A client who sustained a fractured leg has learned how to use crutches. The nurse should determine that the client has a need for further teaching if the client makes which statement about using crutches?
A client who has a history of chronic ulcerative colitis is diagnosed with anemia. The nurse interprets that which factor is most likely responsible for the anemia?
The nurse is caring for a client with a chest tube. Which observation indicates a potential complication?

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