Questions 150

NCLEX-RN

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Question 1 of 5

A client with a history of bipolar disorder is prescribed carbamazepine (Tegretol). The nurse should monitor the client for which of the following side effects?

Correct Answer: B

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

Question 2 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 3 of 5

A client with rheumatoid arthritis is prescribed methotrexate. Which laboratory value should the nurse monitor?

Correct Answer: A

Rationale: Methotrexate can cause hepatotoxicity, so monitoring liver function tests is essential.

Question 4 of 5

Select the types and stages of conflict that are accurately paired with their description. Select all that apply.

Correct Answer: B,D,F,G

Rationale: Conceptualization is correctly described as understanding the conflict's nature. Resolution refers to conflicts that can be resolved. Approach-Approach (F) involves choosing between desirable alternatives, and Approach-Avoidance (G) involves alternatives with both positive and negative aspects. Frustration is not about personal agendas but emotional responses, Taking action involves implementing solutions, not just feelings, and Avoidance-Avoidance is a type, not a stage, of conflict.

Question 5 of 5

A client with a history of type 2 diabetes mellitus is prescribed metformin (Glucophage). The nurse should instruct the client to report which of the following side effects immediately?

Correct Answer: C

Rationale: Lactic acidosis is a rare but serious side effect of metformin, requiring immediate reporting of symptoms like muscle pain or weakness.

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