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Questions 158

NCLEX-RN

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Question 1 of 5

A client is pregnant with her second child. Her last menstrual period began on January 15. Her expected date of delivery would be:

Correct Answer: C

Rationale: Using Nägele's rule, subtract 3 months and add 7 days from January 15, resulting in October 22.

Question 2 of 5

A client with hyperthyroidism is taking Eskalith (lithium carbonate) to inhibit thyroid hormone release. Which complaint by the client should alert the nurse to a problem with the client's medication?

Correct Answer: B

Rationale: Increased thirst and urination suggest lithium toxicity, as lithium can cause polyuria and polydipsia. Blurred vision and weight gain are less specific, and rhinorrhea is unrelated.

Question 3 of 5

A client with a history of hyperparathyroidism is admitted with complaints of fatigue. The nurse should expect the client to have:

Correct Answer: A

Rationale: Hyperparathyroidism increases parathyroid hormone, leading to hypercalcemia, causing fatigue and other symptoms.

Question 4 of 5

A client with a history of liver cirrhosis is admitted with ascites. Which intervention would the nurse expect to implement?

Correct Answer: A

Rationale: Furosemide reduces fluid overload in ascites by promoting diuresis. Increasing fluids (
B), heating pads (
C), and high-sodium diets (
D) worsen ascites.

Question 5 of 5

The nurse caring for a client who has pneumonia, which is caused by a gram-positive bacteria, inspects her sputum. Because the client's pneumonia is caused by a gram-positive bacteria, the nurse expects to find the sputum to be:

Correct Answer: B

Rationale: Bright red sputum with streaks is associated with pneumonia caused by gram-negative bacteria, such as Klebsiella pneumonia. Pneumococcal pneumonia, caused by gram-positive bacteria, has a characteristic productive cough with green or rust-colored sputum. Green-colored sputum is more characteristic of Pseudomonas than of gram-positive bacterial pneumonia. Pink-tinged and frothy sputum is more characteristic of pulmonary edema than of gram-positive bacterial pneumonia.

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