Questions 150

NCLEX-RN

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Question 1 of 5

A client with a history of type 2 diabetes mellitus is prescribed metformin (Glucophage). The nurse should instruct the client to report which of the following side effects immediately?

Correct Answer: C

Rationale: Lactic acidosis is a rare but serious side effect of metformin, requiring immediate reporting of symptoms like muscle pain or weakness.

Question 2 of 5

A client has massive bleeding from esophageal varices. In what order should the nurse and care team provide care for this client?

Order the Items

Source Container

Control hemorrhaging.
Replace fluids.
Relieve the client's anxiety.
Maintain a patent airway.

Correct Answer: D, A, B, C

Rationale: The priority is to maintain a patent airway, control hemorrhaging, replace fluids, and then address anxiety to stabilize the client.

Question 3 of 5

Which of the following impacts on the client's preferences in terms of hygiene routines and practices?

Correct Answer: A

Rationale: Culture significantly influences hygiene preferences, as beliefs and practices vary widely across cultural groups.

Question 4 of 5

The nurse makes a home visit to a primiparous client and her neonate at 1 week after a vaginal delivery. Which of the following findings should be reported to the physician?

Correct Answer: D

Rationale: Neonatal central cyanosis indicates possible respiratory or cardiac issues and requires immediate reporting. The other findings are normal at 1 week postpartum.

Question 5 of 5

A client with a history of depression is prescribed citalopram (Celexa). The nurse should instruct the client to:

Correct Answer: A

Rationale: Citalopram can cause serotonin syndrome, requiring monitoring for agitation and tremors.

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