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Questions 160

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Extract:


Question 1 of 5

A client with a nasogastric tube has just returned from the recovery room after gastric surgery. Which report made by the client is essential to pass on to the physician or charge nurse?

Correct Answer: D

Rationale: Bright red, bloody drainage indicates potential hemorrhage, requiring immediate reporting to the physician.

Question 2 of 5

When a client becomes angry and shouts at the nurse because of a dislike for food that was served, which response by the nurse is most appropriate?

Correct Answer: B

Rationale: Listening attentively allows the client to vent frustrations, de-escalates the situation, and fosters therapeutic communication.

Question 3 of 5

A client with a history of bipolar disorder is prescribed lithium. Which laboratory value should the nurse monitor?

Correct Answer: B

Rationale: Serum lithium levels must be monitored to ensure therapeutic range (0.6–1.2 mEq/L) and prevent toxicity.

Question 4 of 5

A client with a history of breast cancer is receiving tamoxifen. Which side effect should the nurse monitor for?

Correct Answer: A

Rationale: Hot flashes are a common side effect of tamoxifen due to its anti-estrogenic effects.

Question 5 of 5

After a 6-year-old child undergoes a tonsillectomy, the nurse instructs the parents to avoid giving the child aspirin or aspirin products. What is the best explanation for the nurse's instruction?

Correct Answer: B

Rationale: Aspirin is linked to Reye's syndrome in children, a rare but serious condition, especially post-viral infections.

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