Questions 150

NCLEX-RN

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Question 1 of 5

A client with a history of seizures is prescribed phenytoin (Dilantin). The nurse should instruct the client to report which of the following side effects?

Correct Answer: A

Rationale: Phenytoin commonly causes gingival hyperplasia, which should be reported to manage oral health and adjust treatment if needed.

Question 2 of 5

The clinic nurse is reviewing the laboratory reports for a client who is taking allopurinol (Zyloprim). Which of the following laboratory findings indicates that the allopurinol is having the desired effect?

Correct Answer: A

Rationale: Allopurinol reduces serum uric acid levels by inhibiting xanthine oxidase, which is its therapeutic effect in treating gout.

Question 3 of 5

The nurse is caring for a client with a history of deep vein thrombosis who is prescribed enoxaparin (Lovenox). The nurse should instruct the client to report which of the following side effects immediately?

Correct Answer: B

Rationale: Bleeding gums indicate a potential bleeding complication with enoxaparin, requiring immediate reporting.

Question 4 of 5

The nurse is caring for a client who has just received a diagnosis of terminal cancer. The client says, 'I don't want to tell my family yet.' Which of the following responses by the nurse is most appropriate?

Correct Answer: B

Rationale: Respecting the client's autonomy while offering support is the most appropriate response, honoring their decision about disclosure.

Question 5 of 5

A client with cirrhosis is admitted with ascites. The nurse should monitor the client for which of the following complications?

Correct Answer: A

Rationale: Ascites can cause diaphragmatic compression, leading to respiratory distress, which requires monitoring.

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