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Questions 148

NCLEX-RN

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Extract:


Question 1 of 5

A 37-year-old postpartum client explains to the nurse she had a deep vein thrombosis (DVT) after the birth of her last child. To help prevent a DVT during this hospital stay, the nurse should encourage the client to do all of the following EXCEPT

Correct Answer: C

Rationale: Ambulation promotes circulation and prevents DVT. Limiting ambulation increases risk. Stockings, hydration, and leg elevation reduce DVT risk.

Question 2 of 5

The nurse is reviewing labs for a client whose potassium level is 5.3 mEq/L. Which order should the nurse anticipate from the health care provider?

Correct Answer: D

Rationale: A potassium level of 5.3 mEq/L indicates mild hyperkalemia, and Kayexalate may be ordered to lower it. K-Dur would worsen the condition.

Question 3 of 5

The orthopedic nurse should be particularly alert for a fat embolus in which of the following clients having the greatest risk for this complication after a fracture?

Correct Answer: C

Rationale: Fat embolism is most common in long bone fractures, especially the femur, and in young adults. A 21-year-old with a femur fracture is at highest risk.

Question 4 of 5

The physician has ordered Eskalith (lithium carbonate) 500 mg three times a day and Risperdal (risperidone) 2 mg twice daily for a client admitted with bipolar disorder, acute manic episodes. The best explanation for the client's medication regimen is:

Correct Answer: B

Rationale: Risperidone controls acute manic symptoms like agitation, while lithium stabilizes mood over time, a common combination for bipolar mania.

Question 5 of 5

After a discharge, there is a private room available on the floor. The nurse should move which client to the private room?

Correct Answer: B

Rationale: Pityriasis rosea is a potentially contagious rash, warranting a private room to prevent spread. The other conditions are not infectious.

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