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Questions 149

NCLEX-RN

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Extract:


Question 1 of 5

A client is being monitored using a central venous pressure monitor. If the pressure is 2 cm of water, the nurse should:

Correct Answer: B

Rationale: A CVP of 2 cm of water is low, suggesting hypovolemia; slowing the IV infusion prevents fluid overload while addressing the issue.

Question 2 of 5

The physician has ordered aerosol treatments, chest percussion, and postural drainage for a client with cystic fibrosis. The nurse recognizes that the combination of therapies is to:

Correct Answer: C

Rationale: These therapies aim to dilate airways (via aerosols) and mobilize thick mucus (via percussion and drainage) to improve breathing in cystic fibrosis.

Question 3 of 5

A 10-year-old girl has been diagnosed with scabies. There are three other children and two adults living in the household. The nurse can best educate caregivers by stating,

Correct Answer: B

Rationale: Scabies is highly contagious via skin-to-skin contact or shared items. All household members should be treated simultaneously to prevent reinfestation, regardless of symptoms.

Question 4 of 5

A client with cirrhosis has developed signs of heptorenal syndrome. Which diet is most appropriate for the client at this time?

Correct Answer: C

Rationale: Low protein and low sodium diets reduce the burden on the liver and kidneys in hepatorenal syndrome.

Question 5 of 5

A client on the postpartum unit has a proctoepisiotomy. The nurse should anticipate administering which medication?

Correct Answer: B

Rationale: Docusate sodium (Colace) is a stool softener, appropriate to prevent straining and promote healing after a proctoepisiotomy.

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