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Questions 149

NCLEX-RN

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Question 1 of 5

A client with emphysema has been receiving oxygen at 3 L per minute by nasal cannula. The nurse knows that the goal of the client's oxygen therapy is achieved when the client's PaO2 reading is:

Correct Answer: B

Rationale: For clients with emphysema, a PaO2 of 70-80 mm Hg indicates adequate oxygenation without suppressing the respiratory drive.

Question 2 of 5

Which client is at greatest risk for a caesarean section due to cephalopelvic disproportion (CPD)?

Correct Answer: C

Rationale: A 17-year-old primigravida is at higher risk for CPD due to a potentially underdeveloped pelvis, increasing the likelihood of cesarean delivery.

Question 3 of 5

The nurse has documented a treatment on the wrong client's record. Which of the following methods of indicating the error is correct?

Correct Answer: A

Rationale: A single line through the error with 'error' written above and initialed (
A) maintains transparency while correcting the record. Correction fluid (
B) is unacceptable, multiple lines (
C) obscure the record, and margin notes (
D) are insufficient.

Question 4 of 5

A client is admitted to the surgical unit following a transurethral prostatectomy (TURP). The nurse administers a B&O suppository to help prevent bladder spasms. The nurse would observe the client for:

Correct Answer: C

Rationale: Belladonna and opium (B&O) suppositories can cause nausea and vomiting as side effects. These are more immediate concerns than dependence or the other symptoms.

Question 5 of 5

The nurse is caring for a client with dementia who has pulled out three peripheral IVs. Which intervention by the nurse is the best way to manage this client?

Correct Answer: C

Rationale: Wrapping the IV in gauze hides it from view, reducing the likelihood of the client pulling it out, while being less invasive than restraints or threats.

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