Questions 151

NCLEX-RN

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Question 1 of 5

A client with a history of stroke is prescribed clopidogrel (Plavix). The nurse should monitor the client for which of the following adverse effects?

Correct Answer: A

Rationale: Clopidogrel, an antiplatelet, increases bleeding risk, requiring monitoring.

Question 2 of 5

Which laboratory value would you report to the doctor because it is not normal and it is also a significant change in the client?

Correct Answer: D

Rationale:
Total bilirubin of 17 umol/L (1 mg/dL) is elevated (normal 0.1-1.0 mg/dL), indicating potential liver or biliary issues, requiring reporting.

Question 3 of 5

The nurse is instructing a Hindu client to increase protein in the diet. Which of the following foods are appropriate to include in this client's diet? Select all that apply.

Correct Answer: A

Rationale: Hindus typically follow a vegetarian diet, so lentil soup is appropriate, while meat-based options like hamburger, veal, and fish are not.

Question 4 of 5

The nurse caring for a child diagnosed with leukemia notes that the platelet count is 20,000 mm3 (20 x 10^9/L). Based on this finding, the nurse should include which interventions in the plan of care? Select all that apply.

Correct Answer: A,B,C

Rationale: A platelet count of 20,000 mm3 (20 x 10^9/L) places the child at risk for bleeding. The remaining options 1, 2, and 3 are accurate interventions. Taking rectal temperatures and the use of suppositories are avoided because of the risk of rectal bleeding.

Question 5 of 5

A client with a history of depression is prescribed paroxetine (Paxil). The nurse should instruct the client to report which of the following side effects immediately?

Correct Answer: B

Rationale: Suicidal thoughts are a serious side effect of paroxetine, requiring immediate reporting to ensure client safety.

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