NCLEX Questions, NCLEX RN Practice Questions Quizlet Questions, NCLEX-RN Questions, Nurselytic

Questions 149

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Question 1 of 5

A client with hyperthyroidism is taking lithium carbonate to inhibit thyroid hormone release. Which complaint by the client should alert the nurse to a problem with the client's medication?

Correct Answer: B

Rationale: Increased thirst and urination suggest lithium toxicity, which can cause diabetes insipidus-like symptoms, requiring immediate attention.

Question 2 of 5

A client with AIDS-related cytomegalovirus is started on Cytovene (ganciclovir). The nurse should tell the client that the medication will be needed:

Correct Answer: D

Rationale: Ganciclovir is typically required lifelong for AIDS-related cytomegalovirus to prevent recurrence.

Question 3 of 5

A client with an artificial eye is too ill to remove the eye, but the lids are crusted and irritated, so the nurse must remove the prosthesis for cleaning and to inspect the eye socket. The nurse has washed hands and applied disposable gloves. Place the remaining steps to removing the prosthesis (Roman numerals) in the correct order.

Order the Items

Source Container

Gently retract the upper lid.
Exert slight pressure below the eyelid and slip index finger under prosthesis.
Break suction and slide prosthesis out of eye.
Gently retract the lower eyelid against the orbital ridge with the thumb.

Correct Answer: A,D,B,C

Rationale: Prosthesis removal: Retract upper lid (I), retract lower lid (IV), slip finger under prosthesis (II), break suction and remove (III).

Question 4 of 5

The client has an order for a trough to be drawn on the client receiving Vancomycin. The nurse is aware that the nurse should contact the lab for them to collect the blood:

Correct Answer: B

Rationale: A trough level for vancomycin is drawn just before the next dose (e.g., 30 minutes before the fourth infusion) to assess the lowest drug concentration.

Question 5 of 5

A nurse is caring for a client with Parkinson's disease who takes an MAOI as part of the medication regimen. Which item on the lunch tray would the nurse remove?

Correct Answer: A

Rationale: Cheese contains tyramine, which can cause a hypertensive crisis in clients taking MAOIs. Other items are safe.

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