Questions 150

NCLEX-RN

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Question 1 of 5

A client with a diagnosis of bipolar disorder is prescribed lithium. The nurse should monitor the client for which of the following early signs of toxicity?

Correct Answer: A

Rationale: Tremors are an early sign of lithium toxicity, requiring prompt monitoring and potential dose adjustment.

Question 2 of 5

A client with a diagnosis of hyperthyroidism is prescribed propylthiouracil (PTU). The nurse should monitor the client for which of the following side effects?

Correct Answer: B

Rationale: Propylthiouracil can cause agranulocytosis, requiring monitoring of white blood cell counts.

Question 3 of 5

The nurse is teaching a client with a new diagnosis of hyperthyroidism about medication management. Which of the following medications should the client expect to take?

Correct Answer: A, D

Rationale: Methimazole and propylthiouracil inhibit thyroid hormone production in hyperthyroidism.

Question 4 of 5

A client with a paranoid personality disorder sees some clients laughing during a group activity and asks the nurse, 'Why are they laughing at me? I bet they're making fun of me.' Which of the following responses by the nurse is most appropriate?

Correct Answer: D

Rationale: Providing a factual explanation that the laughter is due to a joke addresses the client's paranoia directly and reassuringly, reducing misinterpretation. Other responses dismiss or minimize the client's feelings.

Question 5 of 5

A client with a history of gout is prescribed colchicine. The nurse should instruct the client to take the medication:

Correct Answer: B

Rationale: Colchicine is most effective when taken at the onset of a gout attack to reduce inflammation and pain.

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