Questions 150

NCLEX-RN

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Question 1 of 5

A client with chronic obstructive pulmonary disease is bedridden at home and gets little exercise. The nurse should assess the client for which of the following?

Correct Answer: B

Rationale: Prolonged immobility in COPD increases calcium excretion due to bone resorption, risking osteoporosis. The other options are not directly related to immobility.

Question 2 of 5

The nurse should advise which of the following clients who is taking lithium to consult with the physician regarding a potential adjustment in lithium dosage?

Correct Answer: D

Rationale: Increased physical activity, such as tennis training, can lead to dehydration or electrolyte imbalances, which may affect lithium levels and increase toxicity risk, necessitating a dosage adjustment.

Question 3 of 5

The nurse is discharging a client who has been hospitalized for preterm labor. The client needs further instruction when she says:

Correct Answer: D

Rationale: Clients with preterm labor should get out of the car every 1-2 hours to promote circulation and prevent complications, not every 4 hours, indicating a need for further instruction.

Question 4 of 5

A child with meningococcal meningitis is being admitted to the pediatric unit. In preparation for the child's arrival, the nurse should first?

Correct Answer: A

Rationale: Meningococcal meningitis is transmitted via droplets, so instituting precautions is the priority to prevent spread.

Question 5 of 5

The nurse is conducting a counseling session with a client experiencing post traumatic stress disorder (PTSD) using a 2-way video telehealth system from the hospital to the client's home, which is 2 hours away from the nearest mental health facility. Which of the following are expected outcomes of using telehealth as a venue to provide health care to this client? Select all that apply. The client will:

Correct Answer: A,B,D

Rationale: Telehealth reduces travel time, minimizes triggers associated with visiting facilities, and provides access to mental health care, but it does not inherently shorten recovery time or provide group support unless specifically designed.

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