Questions 150

NCLEX-RN

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Question 1 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 2 of 5

An adult client has bacterial conjunctivitis. What should the nurse teach him to do? Select all that apply.

Correct Answer: A,B,C,D

Rationale: Warm saline soaks, careful antibiotic application, hand washing, and avoiding eye contact prevent spread and promote healing. Isolation is unnecessary unless specified.

Question 3 of 5

The nurse should advise which of the following clients who is taking lithium to consult with the physician regarding a potential adjustment in lithium dosage?

Correct Answer: D

Rationale: Increased physical activity, such as tennis training, can lead to dehydration or electrolyte imbalances, which may affect lithium levels and increase toxicity risk, necessitating a dosage adjustment.

Question 4 of 5

The nurse is teaching a client about the use of a peak flow meter for asthma management. The client should be instructed to:

Correct Answer: B

Rationale: Recording the highest of three peak flow readings provides the most accurate assessment of lung function for asthma monitoring.

Question 5 of 5

The client has sore nares while a nasogastric (NG) tube is in place. Which of the following nursing measures would be most appropriate to help alleviate the client's discomfort?

Correct Answer: C

Rationale: Applying a water-soluble lubricant to the nares reduces irritation and discomfort caused by the NG tube.

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