Questions 151

NCLEX-RN

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Extract:


Question 1 of 5

A client takes isosorbide dinitrate (Isordil) as an antianginal medication. Which of the following statements indicates that the client understands the adverse effects of the drug?

Correct Answer: C

Rationale: Isosorbide dinitrate can cause orthostatic hypotension, so changing positions slowly prevents dizziness, indicating client understanding of adverse effects.

Question 2 of 5

A client with atrial fibrillation is prescribed digoxin (Lanoxin). Which finding indicates a potential toxicity?

Correct Answer: B

Rationale: Visual disturbances, such as blurred or yellow vision, are classic signs of digoxin toxicity, requiring immediate reporting.

Question 3 of 5

Which of the following indicates that a 5-month-old weighing 15 lb and being treated for dehydration has a normal urine output? The urine output is:

Correct Answer: A

Rationale: Normal urine output for an infant is 1 to 2 mL/kg/hour, indicating adequate hydration. Higher outputs may suggest overhydration or other issues.

Question 4 of 5

The nurse is caring for a neonate with jaundice receiving phototherapy. Which action is most important?

Correct Answer: A

Rationale: Covering the neonate's eyes protects them from retinal damage due to phototherapy light exposure.

Question 5 of 5

The nurse is caring for a client who has just undergone a splenectomy. Which of the following complications should the nurse monitor for in the immediate postoperative period?

Correct Answer: A

Rationale: Splenectomy increases infection risk due to impaired immune function, requiring close monitoring.

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