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Questions 149

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NCLEX-RN Test Bank

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Extract:


Question 1 of 5

A client develops mastitis in the postpartum period. Which of the following instructions does the nurse anticipate when notifying the physician? Select all that apply.

Correct Answer: A,C,E

Rationale: Mastitis is typically treated with antibiotics (
A) for 7-10 days to address the infection. Alternating hot and cold compresses (
C) can help relieve pain and reduce inflammation. Continuation of breastfeeding (E) is encouraged to promote milk flow and prevent further complications, unless contraindicated. Opioid analgesia (
B) is not typically required, and discontinuation of breastfeeding (
D) is not recommended as it may worsen the condition.

Question 2 of 5

The nurse is administering an intermittent tube feeding to a client through a nasogastric tube. Which of the following positions is optimal for tube feedings?

Correct Answer: A

Rationale: Elevating the head of the bed to 45° (
A) during tube feedings reduces the risk of aspiration and promotes digestion. A 90° elevation (
B) is excessive, 30° (
C) is insufficient, and a flat position (
D) increases aspiration risk.

Question 3 of 5

The nurse is caring for a client 7 days post-burn injury with 60% body surface area involved. The nursing care of this client would primarily focus on:

Correct Answer: A

Rationale: At 7 days post-burn, infection is a major risk due to open wounds and immunosuppression, making meticulous infection control the primary focus.

Question 4 of 5

The physician has prescribed a Becloforte (beclomethasone) inhaler two puffs twice a day for a client with asthma. The nurse should tell the client to report:

Correct Answer: B

Rationale: A sore throat may indicate oral candidiasis, a side effect of inhaled corticosteroids like beclomethasone.

Question 5 of 5

Which of the following observations best indicates to the nurse that a paraplegic client can adequately carry out activities of daily living at home after discharge?

Correct Answer: B

Rationale: essential if client is to perform ADLs

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