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 immediately?

Correct Answer: C

Rationale: A rash may indicate a serious hypersensitivity reaction to phenytoin, such as Stevens-Johnson syndrome, requiring immediate reporting.

Question 2 of 5

The nurse is teaching a client with a new diagnosis of hyperthyroidism about medication management. Which of the following medications should the client expect to take?

Correct Answer: A, D

Rationale: Methimazole and propylthiouracil inhibit thyroid hormone production in hyperthyroidism.

Question 3 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 immediately?

Correct Answer: C

Rationale: A rash may indicate a serious hypersensitivity reaction to phenytoin, such as Stevens-Johnson syndrome, requiring immediate reporting.

Question 4 of 5

Your client has a doctor's order for the antihistamine medication diphenhydramine for sleep. What should you do?

Correct Answer: D

Rationale: Diphenhydramine (Benadryl) is commonly used off-label for sleep due to its sedative effects, making it an appropriate choice if ordered for this purpose.

Question 5 of 5

After 2 days on a psychiatric unit, a client is still isolating himself in his room, except for meals. The client says he is uncomfortable around crowds of people. Which nursing intervention is the most appropriate initially?

Correct Answer: C

Rationale: A walk with the nurse and one other client provides a low-pressure social interaction, helping the client gradually build comfort with others while respecting his anxiety about crowds.

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