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Questions 148

NCLEX-RN

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Extract:


Question 1 of 5

A client recently diagnosed with atrial fibrillation is being discharged home on digoxin (Lanoxin). The nurse is providing education to the client and family. Which client statement indicates the need for further teaching?

Correct Answer: B

Rationale: Taking a missed digoxin dose as soon as remembered is incorrect; clients should skip it if it’s close to the next dose to avoid toxicity. Other statements reflect correct understanding.

Question 2 of 5

Which of the following findings is associated with right-sided heart failure?

Correct Answer: B

Rationale: Nocturnal polyuria is a classic sign of right-sided heart failure due to fluid redistribution when lying down.

Question 3 of 5

A client recently diagnosed with atrial fibrillation is being discharged home on digoxin (Lanoxin). The nurse is providing education to the client and family. Which client statement indicates the need for further teaching?

Correct Answer: B

Rationale: Taking a missed digoxin dose as soon as remembered is incorrect; clients should skip it if it’s close to the next dose to avoid toxicity. Other statements reflect correct understanding.

Question 4 of 5

A client's lab results have just come in. The nurse reviews the electrolytes and contacts the health care provider regarding which result?

Correct Answer: A

Rationale: Chloride 167 mEq/L is severely elevated (normal 98-106 mEq/L), requiring immediate attention. Other values are normal.

Question 5 of 5

The nurse is teaching a client with a new colostomy about dietary management. Which of the following foods should the nurse recommend the client avoid to reduce odor and gas?

Correct Answer: A

Rationale: broccoli is a gas-forming food that can increase odor and gas in a colostomy

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