Questions 150

NCLEX-RN

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Question 1 of 5

A client with a history of chronic obstructive pulmonary disease (COPD) is prescribed theophylline. The nurse should monitor the client for which of the following adverse effects?

Correct Answer: A

Rationale: Theophylline can cause tachycardia due to its stimulant effects.

Question 2 of 5

A client with a history of rheumatoid arthritis is prescribed methotrexate. The nurse should monitor the client for which of the following adverse effects?

Correct Answer: A

Rationale: Methotrexate can cause hepatotoxicity, requiring regular liver function tests.

Question 3 of 5

A client has a reddened area over a bony prominence. The nurse finds a nursing assistant massaging this area. The nurse should:

Correct Answer: D

Rationale: Massage over a reddened area on a bony prominence is contraindicated as it can further damage tissue and reduce blood flow, increasing the risk of pressure ulcers. The nurse should instruct the assistant to stop massaging the area to prevent harm.

Question 4 of 5

You are a home health nurse caring for an elderly client in their home. They have children and grandchildren but they live far from the client and they typically visit with your clients once to two times a year. The elderly man is beginning to show some of the signs of Alzheimer's disease dementia. The wife is also 88 years of age and has had a stroke which has left her with left sided weakness, but she is willing to help her husband and to maintain his safety. What kind of support should you give the wife in terms of her role caring for her husband?

Correct Answer: B

Rationale: Educating the wife about Alzheimer's disease and promoting the husband's independence as much as possible supports safety and dignity while respecting her role as a caregiver with physical limitations.

Question 5 of 5

Select the complication of a blood transfusion that is accurately paired with its preventive measure.

Correct Answer: A

Rationale: Hemolysis is prevented by ensuring ABO compatibility and proper typing and cross-matching to avoid immune reactions.

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