Questions 150

NCLEX-RN

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Question 1 of 5

A client with cirrhosis is admitted with ascites. The nurse should monitor the client for which of the following complications?

Correct Answer: A

Rationale: Ascites can cause diaphragmatic compression, leading to respiratory distress, which requires monitoring.

Question 2 of 5

The nurse is teaching a client with a new diagnosis of hyperthyroidism about medication management. Which of the following medications should the client expect to take?

Correct Answer: A, D

Rationale: Methimazole and propylthiouracil inhibit thyroid hormone production in hyperthyroidism.

Question 3 of 5

Which action is included in the accurate procedure for administering heparin sodium subcutaneously?

Correct Answer: D

Rationale: Aspiration before administration of heparin sodium, an anticoagulant, should be avoided. Heparin administered by the subcutaneous route does not require an infusion device. The injection site is above the iliac crest or in the abdominal fat layer. It is injected at least 2 inches from the umbilicus. After administration, the needle is withdrawn, pressure is applied to the injection site, but the site is not massaged. Injection sites are rotated.

Question 4 of 5

To prevent development of peripheral neuropathies associated with isoniazid administration, the nurse should teach the client to:

Correct Answer: D

Rationale: Isoniazid can deplete vitamin B6, leading to neuropathy; supplementation prevents this side effect.

Question 5 of 5

The nurse is caring for a client receiving chemotherapy. Which precaution is most important?

Correct Answer: D

Rationale: Monitoring for fever is critical, as chemotherapy increases infection risk due to immunosuppression.

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