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Questions 149

NCLEX-RN

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Extract:


Question 1 of 5

A client has immune thrombocytopenic purpura. The client's platelet count is 19,000. Which initial treatment does the nurse expect?

Correct Answer: B

Rationale: For ITP with a platelet count of 19,000, immunosuppressive therapy (
B), like corticosteroids, is typically initial to increase platelet production. Splenectomy (
A) is later, observation (
C) is risky, and platelets (
D) are less effective.

Question 2 of 5

Which information should be reported to the state Board of Nursing?

Correct Answer: B

Rationale: Incorrect narcotic counts suggest potential diversion or mismanagement of controlled substances, which must be reported to the state Board of Nursing.

Question 3 of 5

The nurse is preparing to admit a client from the emergency department with tuberculosis. Which of the following should the nurse anticipate in caring for this client? Select all that apply.

Correct Answer: C, D, E, F

Rationale: Tuberculosis requires airborne precautions, standard precautions, negative airflow rooms, and N95/PAPR use due to respiratory transmission. Fall precautions are not specific, and droplet precautions are incorrect.

Question 4 of 5

The nurse is at the nurses' station charting when a physician comes up and says, 'Since you are already logged into the computer, I need you to look up some labs on a client.' The client is not cared for by this nurse. Which response by the nurse is most appropriate?

Correct Answer: D

Rationale: Accessing a client's lab results without authorization violates HIPAA, as the nurse is not assigned to the client. The charge nurse can ensure proper access.

Question 5 of 5

The nurse is working with a client who experiences orthostatic hypotension. Which suggestion would benefit the client?

Correct Answer: E

Rationale: None of the options directly address orthostatic hypotension effectively. Support stockings during the day (not sleep), slow position changes, and adequate hydration are better strategies.

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