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Questions 160

NCLEX-PN

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Extract:


Question 1 of 5

A client with a history of pancreatitis reports severe abdominal pain. Which position should the nurse encourage?

Correct Answer: B

Rationale: Side-lying with knees flexed reduces tension on the pancreas, alleviating pain.

Question 2 of 5

The physician orders enoxaparin (Lovenox) for a client who has been diagnosed with a blood clot. To prevent bruising, which actions by the nurse are most appropriate? Select all that apply.

Correct Answer: A,F

Rationale: Avoiding rubbing and applying gentle pressure minimize bruising at the injection site for enoxaparin.

Question 3 of 5

At the time of a retinal detachment, the client will most likely experience which effects? Select all that apply.

Correct Answer: A,F

Rationale: Retinal detachment causes flashes of light due to retinal traction and wavy vision (floaters or curtain-like vision) due to retinal separation. Severe pain or inability to see light is not typical.

Question 4 of 5

A client with a history of glaucoma is prescribed timolol eye drops. Which instruction should the nurse include?

Correct Answer: A

Rationale: Applying pressure to the inner canthus (nasolacrimal occlusion) prevents systemic absorption of timolol.

Question 5 of 5

A client with a history of congestive heart failure is prescribed furosemide (Lasix). Which instruction should the nurse include?

Correct Answer: A

Rationale: Furosemide causes potassium loss; eating potassium-rich foods prevents hypokalemia.

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