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Questions 149

NCLEX-RN

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Question 1 of 5

A client with cirrhosis has developed signs of heptorenal syndrome. Which diet is most appropriate for the client at this time?

Correct Answer: C

Rationale: Low protein and low sodium diets reduce the burden on the liver and kidneys in hepatorenal syndrome.

Question 2 of 5

The client taking Glyburide (Diabeta) should be cautioned to:

Correct Answer: D

Rationale: Daily glucose monitoring is essential for clients on Glyburide to manage blood sugar levels effectively.

Question 3 of 5

The client is admitted to the hospital with hypertensive crises. Diazoxide (Hyperstat) is ordered. During administration, the nurse should:

Correct Answer: B

Rationale: Diazoxide can cause hyperglycemia, so monitoring blood glucose levels is essential during administration.

Question 4 of 5

A post-operative client with an abdominal wound tries to reach over and take a book off the bedside table. He immediately screams and calls for the nurse. The nurse notices serosanguineous drainage coming from the incision on the abdomen. The first action the nurse should take is to

Correct Answer: A

Rationale: Covering the incision with a sterile dressing prevents contamination and infection, which is the immediate priority. Assessing vitals or notifying the surgeon follows after stabilizing the wound.

Question 5 of 5

The physician has discussed the need for medication with the parents of an infant with congenital hypothyroidism. The nurse can reinforce the physician's teaching by telling the parents that:

Correct Answer: B

Rationale: Congenital hypothyroidism requires lifelong thyroid hormone replacement therapy to maintain normal metabolism and development.

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